Individual
MR. KEVIN CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
8620 HOLLY DR, SUITE 230, EVERETT, WA 98208-1825
(425) 348-4505
(425) 348-4538
Mailing address
2731 WETMORE AVE, SUITE 208B, EVERETT, WA 98201-3571
(425) 303-9309
(425) 303-9612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL1063
WA
Other
Enumeration date
06/19/2007
Last updated
07/26/2011
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