Individual
MICHAEL KENNETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
85 MCNAUGHTEN RD STE 110, COLUMBUS, OH 43213-5111
(614) 627-2000
Mailing address
260 CEDARBEND CT, POWELL, OH 43065-6640
(330) 696-9600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
02/25/2022
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