Kyle Erick Johnson, P.A.

NPI #1043278005 in Tulsa, Oklahoma

Provider Information

NPI Number
1043278005
Entity Type
Individual
Name
Kyle Erick Johnson, P.A.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
May 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2929 S GARNETT RD
Address 2
C/O MEDCENTER
City
Tulsa
ZIP Code
74129-5101
Phone
(918) 665-1520

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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