Individual
KEVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 JAMES STREET, SYRACUSE, NY 13203
(315) 472-4471
(315) 999-1377
Mailing address
129 SADDLESTONE PL APT A, CAMILLUS, NY 13031-1688
(248) 914-8091
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
294176
NY
2084P0800X
Psychiatry Physician
294176
NY
Other
Enumeration date
04/28/2014
Last updated
09/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us