Individual
ROBERT RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9070 DIXIE HWY, SUITE 6, LOUISVILLE, KY 40258-1007
(502) 271-3236
(502) 271-3356
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03576
KY
207Q00000X
Family Medicine Physician
11012923
IN
Other
Enumeration date
08/10/2006
Last updated
12/04/2020
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