Johnson, Kevin K

Johnson, Kevin K is an individual health care provider with primary practice located at 501 E Hampden Ave , Englewood CO 80113-2702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Johnson, Kevin K can be contacted via phone (303) 761-9190.

Contact Information

Primary practice address
501 E Hampden Ave Englewood CO 80113-2702
Phone: (303) 761-9190
Fax: (720) 874-4462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25044 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-36659 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17551 Hawaii
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29383 Colorado

Profile Details

NPI number 1003878448
LBN Legal business name Johnson, Kevin K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Mar 29th, 2024 - about 6 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 1003878448 NPPES
Colorado Other 300049154 RR RIA MEDICARE
Colorado MEDICAID 200425020A RR RIA MEDICARE
Colorado Other 300090607 RR RIA MEDICARE
Colorado Other 053221001 RR RIA MEDICARE
Colorado Other 104686220 RR RIA MEDICARE
Colorado MEDICAID 01293836 RR RIA MEDICARE
Colorado MEDICAID 1003878448 RR RIA MEDICARE
Colorado MEDICAID 1003878448 RR RIA MEDICARE
Colorado MEDICAID 84-059792913 RR RIA MEDICARE
Colorado MEDICAID 1003878448 RR RIA MEDICARE
Colorado MEDICAID 1003878448 RR RIA MEDICARE
Colorado MEDICAID 1003878448 RR RIA MEDICARE
Colorado MEDICAID 200427030A RR RIA MEDICARE
Colorado MEDICAID 2192451 RR RIA MEDICARE
Colorado MEDICAID 418800 RR RIA MEDICARE
Colorado Other XPY204569 RR RIA MEDICARE
Colorado MEDICAID 10025709000 RR RIA MEDICARE
Colorado Other 003135486A RR RIA MEDICARE
Colorado Other 02300136 RR RIA MEDICARE
Colorado MEDICAID 1679513196 RR RIA MEDICARE
Colorado Other 300090599 RR RIA MEDICARE
Colorado Other P00720354 RR RIA MEDICARE
Colorado MEDICAID 7617652 RR RIA MEDICARE

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