Kevin R. Johnson, DO

NPI #1992773535 in Columbus, Mississippi

Provider Information

NPI Number: 1992773535
Entity Type: Individual
Name: Kevin R. Johnson, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Mar 9, 2006
Last Updated: Jun 10, 2011

Practice Location

Address: 2402 5TH ST N
City: Columbus
State: Mississippi
ZIP Code: 39705-2000
Phone: (662) 690-8007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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