Individual
DAVID KEITH JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4950
(859) 258-4618
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4950
(859) 258-4618
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
37917
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3600818
ASC MEDICAID GROUP#
KY
01
—
37903705
MEDICAID LAB GROUP#
KY
01
—
4000501
MEDICARE LAB GROUP#
KY
05
—
64069990
—
KY
01
—
ASC 1019
ASC MEDICARE GROUP#
KY
01
—
CNO474
RR MEDICARE GROUP#
KY
Enumeration date
07/14/2006
Last updated
11/02/2007
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