Organization
KEVIN BRANDT JOHNSON, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BRANDT JOHNSON MD (OWNER)
(606) 639-6538
Entity
Organization
Contact information
Practice address
140 ADAMS LANE, SUITE 600, PIKEVILLE, KY 41501-1689
(606) 639-6538
Mailing address
140 ADAMS LANE, SUITE 600, PIKEVILLE, KY 41501-1689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03105
KY
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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