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Organization

K JOHNSON MD

Active
Other names
Thrive Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN JOHNSON MD (OWNER)
(315) 320-7900
Entity
Organization

Contact information

Practice address
5016 W GENESEE ST, CAMILLUS, NY 13031-2356
(315) 320-7900
Mailing address
5016 W GENESEE ST, CAMILLUS, NY 13031-2356
(315) 320-7900

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/10/2020
Last updated
07/28/2020
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