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Individual

DR. KYLE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4168 WOODLANDS PKWY STE B, PALM HARBOR, FL 34685-3496
(813) 925-9431
Mailing address
4168 WOODLANDS PKWY STE B, PALM HARBOR, FL 34685-3496

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
N/A
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3645
FL

Other

Enumeration date
04/21/2011
Last updated
06/10/2024
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