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Individual

DR. KEVIN STUART JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
229 N EGAN AVE, BURNS, OR 97720-1741
(541) 573-7733
(541) 573-7732
Mailing address
229 N EGAN AVE, BURNS, OR 97720-1741
(541) 573-7733
(541) 573-7732

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2166
OR

Other

Enumeration date
02/13/2007
Last updated
07/08/2007
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