Johnson, Kevin Mark
Johnson, Kevin Mark is an individual health care provider with primary practice located at 1170 Cleveland Ave , East Point GA 30344-3615. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Johnson, Kevin Mark can be contacted via phone (404) 466-1249.Contact Information
Primary practice address
1170 Cleveland Ave
East Point GA 30344-3615
Phone: (404) 466-1249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1508515917 |
|---|---|
| LBN Legal business name | Johnson, Kevin Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2022 |
| Last updated | Mar 22nd, 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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