Johnson, Kenneth Wayne
Johnson, Kenneth Wayne is an sole proprietor health care provider with primary practice located at 711 W College St Suite M88, Los Angeles CA 90012-1163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Johnson, Kenneth Wayne can be contacted via phone (213) 625-8825.Contact Information
Primary practice address
711 W College St Suite M88
Los Angeles CA 90012-1163
Phone: (213) 625-8825
Fax: (213) 625-8838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0428328 | Kansas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | G83706 | California |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2006028600 | Missouri |
Profile Details
| NPI number | 1972560449 |
|---|---|
| LBN Legal business name | Johnson, Kenneth Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Dec 10th, 2007 - about 18 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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