Individual
DR. KEINO J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
225 E CITY AVE STE 109, BALA CYNWYD, PA 19004-1724
(215) 503-3838
Mailing address
225 E CITY AVE STE 109, BALA CYNWYD, PA 19004-1724
(215) 503-3838
(610) 664-2945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014159
PA
Other
Enumeration date
02/16/2009
Last updated
07/19/2019
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