Individual
KEVIN EARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 GREENE ST, ADEL, IA 50003-1712
(515) 993-4656
(515) 993-4532
Mailing address
PO BOX 674721, DALLAS, TX 75267-4721
(515) 643-2519
(515) 993-4532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
134561
IA
Other
Enumeration date
04/03/2025
Last updated
11/19/2025
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