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
Fax: (325) 949-3594
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780738195 NPPES
Texas Other 83282L BLUE CROSS BLUE SHIELD

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