Individual
DR. KEVIN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1178
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30128
WI
208M00000X
Hospitalist Physician
Primary
30128
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31484600
—
WI
05
—
32718000
—
WI
Enumeration date
08/28/2006
Last updated
03/07/2023
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