Individual
KENNETH SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4444 GERMANNA HWY, SUITE 310, LOCUST GROVE, VA 22508-2035
(540) 972-6222
(540) 972-6299
Mailing address
4444 GERMANNA HWY, SUITE 310, LOCUST GROVE, VA 22508-2035
(540) 972-6222
(540) 972-6299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101058684
VA
Other
Enumeration date
08/01/2006
Last updated
03/21/2014
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