Individual
KEVIN D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2609 ELECTRIC AVE, STE. A, PORT HURON, MI 48060-6589
(810) 982-1300
(810) 982-9802
Mailing address
2609 ELECTRIC AVE, STE. A, PORT HURON, MI 48060-6589
(810) 982-1300
(810) 982-9802
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301054492
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1807401112
BCBSM
MI
05
—
2923602
—
MI
05
—
3149682
—
MI
Enumeration date
09/20/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us