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Individual

DR. KENDRICK DEWAYNE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1430 TULANE AVE # 8047, NEW ORLEANS, LA 70112-2632
(504) 988-3524
(504) 988-7846
Mailing address
1430 TULANE AVE # 8047, NEW ORLEANS, LA 70112-2632
(504) 988-3524
(504) 988-7846

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125.063144
IL
207T00000X
Neurological Surgery Physician
Primary
330499
LA

Other

Enumeration date
05/24/2013
Last updated
08/11/2022
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