Individual
DR. KEVIN EARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 W WALL ST, RURAL HALL, NC 27045-9308
(336) 969-9158
(336) 969-4554
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 969-9158
(336) 969-4554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
070497
GA
207Q00000X
Family Medicine Physician
Primary
9801320
NC
Other
Enumeration date
10/18/2005
Last updated
01/13/2025
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