Kevin Johnson is a clinical laboratory director and non-physician pathology in Chicago, IL. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. Kevin Johnson NPI is 1841948262. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5841 S DAMEN AVE
CHICAGO, IL
ZIP 60636-507
Phone: (312) 874-2142
The enumeration date for this NPI number is 3/15/2022 and was last updated on 3/15/2022.