Individual
DR. KRIS ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 VAN GORDON ST, SUITE #395, LAKEWOOD, CO 80228-1709
(303) 914-2680
Mailing address
155 VAN GORDON ST, SUITE #395, LAKEWOOD, CO 80228-1709
(303) 914-2680
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
039337
CO
208M00000X
Hospitalist Physician
39337
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95052321
—
CO
Enumeration date
07/18/2006
Last updated
12/21/2007
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