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Individual

KEVIN N JOHNSON

Active
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Individual

KEVIN N JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301107206
MI
208600000X
Surgery Physician
68820
TN
2086S0102X
Surgical Critical Care Physician
4301107206
MI
2086S0120X
Pediatric Surgery Physician
4301107206
MI
2086S0120X
Pediatric Surgery Physician
Primary
68820
TN

Other

Enumeration date
06/02/2010
Last updated
05/13/2024
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