Individual
KEVIN MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
N5241 US HIGHWAY 45, WATERSMEET, MI 49969-0009
(906) 358-4588
(906) 358-4118
Mailing address
47307 LARSON RD, ATLANTIC MINE, MI 49905-9203
(906) 281-2186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06190459
MI
Other
Enumeration date
06/17/2019
Last updated
01/08/2026
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