Individual
KEVIN B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3570 W 9000 S STE 100, WEST JORDAN, UT 84088
(801) 903-5620
(385) 351-6718
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
176259-1205
UT
Other
Enumeration date
03/20/2007
Last updated
04/22/2024
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