person
Dr. Kelvie A Johnson, MD
Adolescent Medicine (Family Medicine) Physician in Olympia, Washington
NPI 1023019858

Kelvie A Johnson is an Adolescent Medicine (Family Medicine) Physician based in Olympia, WA and is specialized in Adolescent Medicine. Kelvie A Johnson practices in Olympia, WA and has the professional credentials of MD. The NPI Number for Kelvie A Johnson is 1023019858 and holds a License No. MD00025100 (Washington).

The current practice location address for Kelvie A Johnson is 525 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-493-7230 and via fax at 360-493-4180.

Location: 525 Lilly Rd Ne, Olympia, WA, 98506-5101
person
Provider Profile Details
NPI Number
1023019858
Provider Name
Kelvie A Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
525 Lilly Rd Ne, Olympia, WA, 98506-5101
Phone Number
360-493-7230
Fax Number
360-493-4180
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8303489 05 WA
institution
Provider Business Practice Location Address Details
Address
525 Lilly Rd Ne
City
State
Zip
98506-5101
Phone Number
360-493-7230
Fax Number
360-493-4180
person
Provider Business Mailing Address Details
Address
525 Lilly Rd Ne
City
State
Zip
98506-5101
Phone Number
360-493-7230
Fax Number
360-493-4180
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
License No.
MD00025100 (Washington)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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