Johnson, Kevin

Johnson, Kevin is an sole proprietor health care provider with primary practice located at 475 Irving Ave Ste 418 , Syracuse NY 13210-1573. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Johnson, Kevin can be contacted via phone (315) 218-5303.

Contact Information

Primary practice address
475 Irving Ave Ste 418 Syracuse NY 13210-1573
Phone: (315) 218-5303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 294176 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 294176 New York

Profile Details

NPI number 1396155511
LBN Legal business name Johnson, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2014
Last updated Mar 12th, 2021 - about 4 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.

Request for update

Popular Providers