Individual
KEVIN BRANDT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
230 BOWMAN ST STE C, MORRISTOWN, TN 37813-3871
(423) 586-3249
Mailing address
230 BOWMAN ST STE C, MORRISTOWN, TN 37813-3871
(423) 586-3249
(423) 586-3250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02434
TN
207Q00000X
Family Medicine Physician
03105
KY
207Q00000X
Family Medicine Physician
R1276
KY
208D00000X
General Practice Physician
Primary
2434
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100003850
—
KY
05
—
Q059168
—
TN
Enumeration date
12/13/2006
Last updated
02/25/2026
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