Individual
DR. KEVIN R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-6968
(602) 839-4144
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(480) 500-2540
(623) 201-7954
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
005192
AZ
Other
Enumeration date
06/08/2007
Last updated
03/15/2021
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