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Individual
KEVIN LEWIS JOHNSON
Active
Individual
KEVIN LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014-01442
NC
207Q00000X
Family Medicine Physician
33747
SC
208M00000X
Hospitalist Physician
2014-01442
NC
Other
Enumeration date
06/13/2011
Last updated
10/28/2023
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