Johnson, Jeffrey Kyle

Johnson, Jeffrey Kyle is an individual health care provider with primary practice located at 1714 21St St , Santa Monica CA 90404-3917. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Johnson, Jeffrey Kyle can be contacted via phone (310) 908-8859.

Contact Information

Primary practice address
1714 21St St Santa Monica CA 90404-3917
Phone: (310) 908-8859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1073579199
LBN Legal business name Johnson, Jeffrey Kyle
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers