Johnson, Kim Edward
Johnson, Kim Edward is an individual health care provider with primary practice located at 200 Providence Rd Ste 101 Nash Anesthesia Associates, Charlotte NC 28207-1437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Johnson, Kim Edward can be contacted via phone (844) 437-4275.Contact Information
Primary practice address
200 Providence Rd Ste 101 Nash Anesthesia Associates
Charlotte NC 28207-1437
Phone: (844) 437-4275
Fax: (704) 973-7896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 31308 | North Carolina |
Profile Details
| NPI number | 1780686626 |
|---|---|
| LBN Legal business name | Johnson, Kim Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | May 26th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780686626 | NPPES |
| North Carolina | Other | 2052241 | UNITED HEALTHCARE |
| North Carolina | Other | 46398 | UNITED HEALTHCARE |
| North Carolina | MEDICAID | 8946398 | UNITED HEALTHCARE |
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