Kevin Johansen, MD
NPI #1487235305 in Truckee, California
Provider Information
- NPI Number
- 1487235305
- Entity Type
- Individual
- Name
- Kevin Johansen, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Apr 21, 2021
- Last Updated
- Dec 3, 2024
Practice Location
- Address
- 10121 PINE AVE
- City
- Truckee
- State
- California
- ZIP Code
- 96161-4856
- Phone
- (775) 284-9155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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