DR. KELVIE A JOHNSON M.D. NPI 1023019858

NPI Information

  • NPI: 1023019858
  • Provider Name: DR. KELVIE A JOHNSON, M.D.
  • Classification: Family Medicine - 207QA0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • Address: 525 LILLY RD NE
    OLYMPIA, WA
    ZIP 98506
  • Phone: (360) 493-7230

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NPI Details

DR. Kelvie A Johnson, M.D. is an adolescent medicine family medicine in Olympia, WA. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. DR. Kelvie A Johnson, M.D. NPI is 1023019858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 LILLY RD NE
OLYMPIA, WA
ZIP 98506-101
Phone: (360) 493-7230
Fax: (360) 493-4180

The enumeration date for this NPI number is 8/2/2005 and was last updated on 3/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0000XFamily MedicineAdolescent MedicineMD00025100WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18303489MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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