Organization
KYLE JOHNSON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE D JOHNSON MD (AUTHORIZED OFFICIAL)
(213) 324-3549
Entity
Organization
Contact information
Practice address
350 23RD AVENUE E, STE 102, WEST FARGO, ND 58078-7402
(213) 324-3549
Mailing address
350 23RD AVENUE E, STE 102, WEST FARGO, ND 58078-7402
(213) 324-3549
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
09/18/2024
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