Individual
KENNETH JAMES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR # MC7792, SAN ANTONIO, TX 78229-3901
(210) 567-1601
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(937) 546-4642
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101275879
VA
Other
Enumeration date
04/28/2020
Last updated
06/30/2024
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