Individual
JUSTIN LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADPSS
Contact information
Practice address
3934 DIXIE HWY STE 100, LOUISVILLE, KY 40216-4188
(502) 439-1126
Mailing address
1615 CYPRESS ST, LOUISVILLE, KY 40210-1936
(502) 439-1126
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
297519
KY
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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