Johnson, Kevin R.

Johnson, Kevin R. is an individual health care provider with primary practice located at 2402 5Th St N , Columbus MS 39705-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Kevin R. can be contacted via phone (662) 690-8007.

Contact Information

Primary practice address
2402 5Th St N Columbus MS 39705-2000
Phone: (662) 690-8007
Fax: (662) 842-4653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18376 Mississippi

Profile Details

NPI number 1992773535
LBN Legal business name Johnson, Kevin R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 10th, 2011 - about 14 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 1992773535 NPPES
Mississippi MEDICAID 06202721

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