Individual
KEMMIAN DERRAIL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 W MARKHAM ST, SLOT 820, LITTLE ROCK, AR 72205-7101
(501) 686-7840
Mailing address
3401 SPRINGHILL DR STE 400, NORTH LITTLE ROCK, AR 72117-2928
(501) 945-3343
(501) 945-0770
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E16519
AR
208D00000X
General Practice Physician
325941
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
04/01/2026
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