Individual
KEVIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO MEDICAL STUDENT
Contact information
Practice address
7754 PACIFIC DUNES ST, LAS VEGAS, NV 89139-6552
(702) 499-2004
Mailing address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 499-2004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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