Johnson, Kevin M

Johnson, Kevin M is an individual health care provider with primary practice located at 6701 Airport Blvd Suite D-330, Mobile AL 36608-6705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Kevin M can be contacted via phone (251) 607-9797.

Contact Information

Primary practice address
6701 Airport Blvd Suite D-330 Mobile AL 36608-6705
Phone: (251) 607-9797
Fax: (251) 607-9761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-433 Alabama

Profile Details

NPI number 1730120262
LBN Legal business name Johnson, Kevin M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 21st, 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 1730120262 NPPES
Alabama Other 515-32157 BLUE CROSS BLUE SHIELD

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