Individual
PHILIP L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8500
(913) 588-1227
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
04-25938
KS
2085R0202X
Diagnostic Radiology Physician
04-25938
KS
2085R0204X
Vascular & Interventional Radiology Physician
04-25938
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185530C
—
KS
05
—
203938311
—
MO
01
—
22521075
BCBS KANSAS CITY
MO
05
—
30004207850001
—
KS
01
—
355542
FIRSTGUARD
KS
Enumeration date
09/28/2006
Last updated
01/23/2026
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