MR. KEVIN TIMOTHY JOHNSON PA-C NPI 1558834234

NPI Information

NPI: 1558834234
Provider Name: MR. KEVIN TIMOTHY JOHNSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
411 NAYLOR MILL RD
SALISBURY, MD
ZIP 21801
Phone: (443) 669-9177
Get Directions

MR. Kevin Timothy Johnson, PA-C is a medical physician assistant in Salisbury, MD. MR. Kevin Timothy Johnson, PA-C NPI is 1558834234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

411 NAYLOR MILL RD
SALISBURY, MD
ZIP 21801-191
Phone: (443) 669-9177

The enumeration date for this NPI number is 1/6/2019 and was last updated on 1/6/2019.

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
1	363AM0700X	Physician Assistant	Medical	C0001098	MARYLAND	Yes

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
1	PA77250	OTHER	MARYLAND	CDS

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: 4/28/2024

NPI Synchronization or Removal

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