Individual
KEVIN L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
2600 S 48TH ST, LINCOLN, NE 68506-2502
(402) 483-2834
(402) 483-2076
Mailing address
2600 S 48TH ST, LINCOLN, NE 68506-2502
(402) 483-2834
(402) 483-2076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9065
NE
183500000X
Pharmacist
PH3200
HI
183500000X
Pharmacist
PHA19050
CO
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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