KEVIN JOHNSON

BRIDGETON, MO
NPI1982651204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MO  R7E11)
Enumeration Date2006-05-30
Last Update Date2007-07-09
Business Address
-- KEVIN JOHNSON MD
12303 DE PAUL DR
BRIDGETON, MO 63044-2512
Phone number: 314-344-6000
Mailing Address
-- KEVIN JOHNSON MD
1836 LACKLAND HILL PKWY ATTN: CREDENTIALING OFFICE
SAINT LOUIS, MO 63146-3572
Phone number: 314-989-0300
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