Kermit Johnson
NPI #1154533230 in Oakland, California
Provider Information
- NPI Number
- 1154533230
- Entity Type
- Individual
- Name
- Kermit Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 568 W GRAND AVE
- City
- Oakland
- State
- California
- ZIP Code
- 94612-1618
- Phone
- (510) 268-7837
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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