Individual
DR. KEVIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
313 E COMMERCIAL AVE, LOWELL, IN 46356-1707
(410) 271-6747
(410) 271-6747
Mailing address
313 E COMMERCIAL AVE, LOWELL, IN 46356-1707
(410) 271-6747
(410) 271-6747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA 1972
MD
Other
Enumeration date
11/01/2006
Last updated
08/03/2022
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