Individual
DR. PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007011379
MO
208M00000X
Hospitalist Physician
Primary
2007011379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
MEDICAL RESIDENT
MO
Enumeration date
07/05/2006
Last updated
12/17/2020
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