# KEVIN JOHNSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386624252
- **Authorized official:** MRS. KAY STEELE (ADMINISTRATOR)
- **Authorized official phone:** (256) 734-9472

## Contact information

- **Practice address:** 1403 WALL ST NE, CULLMAN, AL 35055-0000
- **Practice address phone:** (256) 734-9472
- **Practice address fax:** (256) 734-9272
- **Mailing address:** PO BOX 822, CULLMAN, AL 35056-0822
- **Mailing address phone:** (256) 734-9472
- **Mailing address fax:** (256) 734-9272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 09/13/2013
