Organization
KEVIN S. JOHNSON, D.C., PC
Active
Other names
Great Basin Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S. JOHNSON D.C. (PRESIDENT)
(541) 573-7733
Entity
Organization
Contact information
Practice address
229 N EGAN AVE, BURNS, OR 97720-1741
(541) 573-7733
(541) 573-7732
Mailing address
229 N EGAN AVE, BURNS, OR 97720-1741
(541) 573-7733
(541) 573-7732
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2166
OR
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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