J Kevin Johnson Md Pc

LBN: J Kevin Johnson Md Pc
J Kevin Johnson Md Pc is an health care organization with primary practice located at 1600 North Grand Suite 520, Pueblo CO 81003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. J Kevin Johnson Md Pc can be contacted via phone (719) 542-3100, or through Johnson, J Kevin via phone (719) 542-3100.

Contact Information

Primary practice address
1600 North Grand Suite 520 Pueblo CO 81003
Phone: (719) 542-3100
Fax: (719) 542-3100
Website:
Map and Directions
Authorized official contact:
Name: Johnson, J Kevin Doctor of Medicine (MD)
Phone: (719) 542-3100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1376659805
LBN Legal business name J Kevin Johnson Md Pc
DBA Doing business as
Authorized official Johnson, J Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376659805 NPPES
Colorado MEDICAID 01365246
Colorado Other DD7190

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