Johnson, Kavin Wood
Johnson, Kavin Wood is an sole proprietor health care provider with primary practice located at 36 E Twohig Ave Ste. 300, San Angelo TX 76903-6433. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Johnson, Kavin Wood can be contacted via phone (325) 656-1678.Contact Information
Primary practice address
36 E Twohig Ave Ste. 300
San Angelo TX 76903-6433
Phone: (325) 656-1678
Fax: (325) 949-3594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 12688 | Texas |
Profile Details
| NPI number | 1780738195 |
|---|---|
| LBN Legal business name | Johnson, Kavin Wood |
| Credentials | M.S., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jan 11th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780738195 | NPPES |
| Texas | Other | 83282L | BLUE CROSS BLUE SHIELD |
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