Johnson, Keenon

Johnson, Keenon is an sole proprietor health care provider with primary practice located at 10208 Cerny St Suite 304, Raleigh NC 27617-7884. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Johnson, Keenon can be contacted via phone (919) 706-0617.

Contact Information

Primary practice address
10208 Cerny St Suite 304 Raleigh NC 27617-7884
Phone: (919) 706-0617
Fax: (919) 825-3361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 8669 North Carolina

Profile Details

NPI number 1659579647
LBN Legal business name Johnson, Keenon
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2007
Last updated Jan 10th, 2012 - about 12 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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