Individual
KAVIN J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9029 HIWASSEE ST NW, CHARLESTON, TN 37310-5305
(423) 665-9026
(423) 584-6747
Mailing address
9029 HIWASSEE ST NW, CHARLESTON, TN 37310-5305
(423) 665-9026
(423) 584-6747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21478
TN
Other
Enumeration date
07/18/2005
Last updated
11/25/2014
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