Individual
KYLE E. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 ENTERPRISE DR, SUITE 300, LOWELL, AR 72745-8975
(479) 717-7626
(479) 717-7327
Mailing address
515 ENTERPRISE DR, SUITE 300, LOWELL, AR 72745-8975
(479) 717-7626
(479) 717-7327
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-7121
AR
Other
Enumeration date
04/24/2007
Last updated
08/19/2015
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