Individual
KEVIN N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1110
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR, NASHVILLE, TN 37215-2691
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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