Individual
COREY MORGAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 302, OWENSBORO, KY 42303-9774
(270) 688-4480
(270) 688-4489
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01069814A
IN
208800000X
Urology Physician
Primary
44616
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201029080
—
IN
05
—
7100179530
—
KY
Enumeration date
05/22/2007
Last updated
10/23/2024
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