Individual
KYLE D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 23RD AVENUE E, STE 102, WEST FARGO, ND 58078-7402
(701) 235-1924
(701) 235-6304
Mailing address
350 23RD AVENUE E, STE 102, WEST FARGO, ND 58078-7402
(701) 235-1924
(701) 235-6304
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14194
ND
Other
Enumeration date
06/18/2011
Last updated
09/18/2024
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