Individual
RYAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD # MS 4034, KANSAS CITY, KS 66160-5888
(913) 588-1908
(913) 588-8387
Mailing address
3901 RAINBOW BLVD # MS 4034, KANSAS CITY, KS 66160-8500
(913) 588-1908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94-12024
KS
Other
Enumeration date
04/24/2023
Last updated
06/24/2024
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