Individual
KENNETH JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
210 25TH AVE N, SUITE 602, NASHVILLE, TN 37203-1606
(615) 362-0600
(615) 320-3259
Mailing address
210 25TH AVE N, SUITE 602, NASHVILLE, TN 37203-1606
(615) 362-0600
(615) 320-3259
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
0000000001
TN
Other
Enumeration date
10/09/2009
Last updated
11/02/2022
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