Individual
DR. CHRISTOPHER KENYON JOHN
Active
Individual
DR. CHRISTOPHER KENYON JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101235961
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952388878
VA PREMIER
VA
05
—
1952388878
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
3810018731
MEDICAID OF WEST VIRGINIA
VA
01
—
540506332115
TRICARE/CHAMPUS
VA
01
—
P00834684
RAILROAD MEDICARE
VA
Enumeration date
12/30/2005
Last updated
07/27/2016
Update your record
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