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Individual
DR. KARL KNUDSEN JOHSENS
Active
Individual
DR. KARL KNUDSEN JOHSENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G84030
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
G084030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G840300
BLUE SHIELD
CA
05
—
00G840300
—
CA
01
—
110208332
MEDICARE RAILROAD
CA
01
—
5541296
AETNA
CA
01
—
G054030
BLUE CROSS
CA
Enumeration date
05/08/2007
Last updated
07/11/2019
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