Individual
MR. KENNETH HERBERT JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.AUD.
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR, SUITE 130, COLUMBIA, SC 29203-6849
(803) 765-1919
(803) 771-9084
Mailing address
1 WELLNESS BLVD, SUITE 108, IRMO, SC 29063-2871
(803) 765-1919
(803) 749-3371
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1067
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0061
—
SC
Enumeration date
11/01/2006
Last updated
10/16/2007
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