Individual
MR. KEVIN MICHEAL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2110 S 17TH ST, WILMINGTON, NC 28401-7408
(910) 343-5250
(910) 343-5299
Mailing address
116 N NORWOOD ST, WALLACE, NC 28466-2730
(910) 285-7222
(910) 285-7229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3258
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085RX
BCBS PROVIDER NUMBER
NC
01
—
DB8936
RAILROAD MEDICARE PROVIDE
NC
Enumeration date
01/03/2006
Last updated
02/23/2026
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