Individual
KYLE GREGORY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN FNP-C
Contact information
Practice address
2211 MAYFAIR DR STE 101, OWENSBORO, KY 42301-4569
(270) 688-1352
Mailing address
113 W BROADWAY ST, PRINCETON, IN 47670-1501
(812) 480-9469
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4011302
KY
Other
Enumeration date
11/15/2023
Last updated
09/30/2025
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