Individual
CRAIG ARBY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
912 WALLACE AVE, LEITCHFIELD, KY 42754-2404
(270) 259-9316
(270) 259-6571
Mailing address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 259-9316
(270) 259-6571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
KY23893
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64238934
—
KY
Enumeration date
06/05/2006
Last updated
12/01/2015
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