Individual
DR. KENDRICK DEWAYNE JOHNSON
Active
Individual
DR. KENDRICK DEWAYNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125.063144
IL
207T00000X
Neurological Surgery Physician
Primary
330499
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330499
LICENSE
LA
Enumeration date
05/24/2013
Last updated
06/24/2026
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