Individual
RICHARD KEITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1023 MEDICAL CENTER PKWY STE 311, SELMA, AL 36701-7740
(334) 418-6652
Mailing address
1023 MEDICAL CENTER PKWY STE 311, SELMA, AL 36701-7740
(334) 418-6652
(833) 645-0184
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19773
MS
208600000X
Surgery Physician
2006015220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03826375
—
MS
05
—
203735600
—
MO
01
—
209433
BLUE SHIELD
MO
01
—
752753
HEALTHLINK
MO
Enumeration date
07/24/2006
Last updated
02/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us