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Individual

KYLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
195 SPRINGBROOK AVE, CLAYTON, NC 27520-8105
(919) 550-7200
Mailing address
1220 TURNER WOODS DR, RALEIGH, NC 27603-9521
(252) 567-0006

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A8192
NC

Other

Enumeration date
07/26/2023
Last updated
07/26/2023
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