Individual
DR. KENNETH M JOHNSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1271 OLD US 1 HWY, SOUTHERN PINES, NC 28387-6308
(607) 423-3949
Mailing address
340 FOX BOX RD, VASS, NC 28394-3301
(607) 423-3949
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
240274
NY
Other
Enumeration date
07/19/2006
Last updated
08/20/2024
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