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Mr. Kevin Micheal Johnson, DC
Chiropractor in Wilmington, North Carolina
NPI 1154309904

Kevin Micheal Johnson is a Chiropractor based in Wilmington, NC. Kevin Micheal Johnson practices in Wilmington, NC and has the professional credentials of DC. The NPI Number for Kevin Micheal Johnson is 1154309904 and holds a License No. 3258 (North Carolina).

The current practice location address for Kevin Micheal Johnson is 2110 S 17Th St, Wilmington, NC and can be reached out via phone at 910-343-5250 and via fax at 910-343-5299.

Location: 2110 S 17Th St, Wilmington, NC, 28401-7408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154309904
Provider Name
Kevin Micheal Johnson
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2110 S 17Th St, Wilmington, NC, 28401-7408
Phone Number
910-343-5250
Fax Number
910-343-5299
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DB8936 01 NC RAILROAD MEDICARE PROVIDE
085RX 01 NC BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2110 S 17Th St
City
Wilmington
State
North Carolina
Zip
28401-7408
Phone Number
910-343-5250
Fax Number
910-343-5299
person
Provider Business Mailing Address Details
Address
2110 S 17Th St
City
Wilmington
State
North Carolina
Zip
28401-7408
Phone Number
910-343-5250
Fax Number
910-343-5299
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3258 (North Carolina)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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