Johnson, Kenneth Lee

Johnson, Kenneth Lee is an individual health care provider with primary practice located at 701 Doctors Dr Suite N, Kinston NC 28501-1584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Kenneth Lee can be contacted via phone (252) 559-2200.

Contact Information

Primary practice address
701 Doctors Dr Suite N Kinston NC 28501-1584
Phone: (252) 559-2200
Fax: (252) 522-9778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9801319 North Carolina

Profile Details

NPI number 1457336760
LBN Legal business name Johnson, Kenneth Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 10th, 2022 - about 2 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 1457336760 NPPES
North Carolina MEDICAID 891263G
North Carolina Other 110208101

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