Johnson, Kelvie A
Johnson, Kelvie A is an individual health care provider with primary practice located at 525 Lilly Rd Ne , Olympia WA 98506-5101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Johnson, Kelvie A can be contacted via phone (360) 493-7230.Contact Information
Primary practice address
525 Lilly Rd Ne
Olympia WA 98506-5101
Phone: (360) 493-7230
Fax: (360) 493-4180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | MD00025100 | Washington |
Profile Details
| NPI number | 1023019858 |
|---|---|
| LBN Legal business name | Johnson, Kelvie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 1st, 2021 - about 3 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 | 1023019858 | NPPES |
| Washington | MEDICAID | 8303489 |
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