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Individual
KENT G JOHNSON
Active
Individual
KENT G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
171184-1205
UT
207L00000X
Anesthesiology Physician
70294
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07727
—
UT
Enumeration date
09/07/2005
Last updated
05/19/2023
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