Individual
MR. KENNETH BYRON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
36 LAVELLE COURT, UNALASKA, AK 99685
(907) 581-1202
Mailing address
PO BOX 921103, DUTCH HARBOR, AK 99692-1103
(907) 359-3585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PHYP2225
AK
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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