Individual
MATTHEW B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Mailing address
37 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-4520
(606) 573-6392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116034070
VA
207R00000X
Internal Medicine Physician
Primary
05495
KY
Other
Enumeration date
06/10/2020
Last updated
01/16/2024
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