Johnson, Kevin Brandt

Johnson, Kevin Brandt is an individual health care provider with primary practice located at 230 Bowman St Ste C , Morristown TN 37813-3871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Kevin Brandt can be contacted via phone (423) 586-3249.

Contact Information

Primary practice address
230 Bowman St Ste C Morristown TN 37813-3871
Phone: (423) 586-3249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03105 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R1276 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02434 Tennessee

Profile Details

NPI number 1598826349
LBN Legal business name Johnson, Kevin Brandt
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Feb 6th, 2024 - about 9 months 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 1598826349 NPPES
Tennessee MEDICAID Q059168
Tennessee MEDICAID 7100003850

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