Individual
DR. BENJAMIN KEITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 GW HART ST, SHEPPARD AFB, TX 76311
(940) 676-6075
Mailing address
627 S. EDWIN C. MOSES BLVD, EAST MEDICAL PLAZA, 1ST FLOOR, DAYTON, OH 45417
(937) 223-8840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57.027787
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
01/31/2022
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