Individual
KYLE THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 HAWTHORNE LN STE 300, CHARLOTTE, NC 28204-2536
(704) 372-5180
(704) 376-6280
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2023-01775
NC
Other
Enumeration date
05/16/2018
Last updated
08/27/2024
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