# KEVIN S. JOHNSON, D.C., PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Basin Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720356744
- **Authorized official:** KEVIN S. JOHNSON D.C. (PRESIDENT)
- **Authorized official phone:** (541) 573-7733

## Contact information

- **Practice address:** 229 N EGAN AVE, BURNS, OR 97720-1741
- **Practice address phone:** (541) 573-7733
- **Practice address fax:** (541) 573-7732
- **Mailing address:** 229 N EGAN AVE, BURNS, OR 97720-1741
- **Mailing address phone:** (541) 573-7733
- **Mailing address fax:** (541) 573-7732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 2166 | OR | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011