Individual
KEVIN JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1261 ROSLYN AVE, AKRON, OH 44320-3424
(330) 903-6280
Mailing address
1261 ROSLYN AVE, AKRON, OH 44320-3424
(330) 903-6280
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172284
—
OH
Enumeration date
09/12/2016
Last updated
09/12/2016
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