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Dr. Kevin M Johnson, MD
Specialist in Bellevue, Washington
NPI 1154359073

Kevin M Johnson is a Specialist based in Seattle, WA. Kevin M Johnson practices in Bellevue, WA and has the professional credentials of MD. The NPI Number for Kevin M Johnson is 1154359073 and holds a License No. 0028665 (Washington).

The current practice location address for Kevin M Johnson is 1135 116Th Ave Ne, Bellevue, WA and can be reached out via phone at 425-646-4700 and via fax at 425-646-1076.

Location: 1135 116Th Ave Ne, Bellevue, WA, 98124-5653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154359073
Provider Name
Kevin M Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1135 116Th Ave Ne, Bellevue, WA, 98124-5653
Phone Number
425-646-4700
Fax Number
425-646-1076
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8128084 05 WA
institution
Provider Business Practice Location Address Details
Address
1135 116Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-4623
Phone Number
425-646-4700
Fax Number
425-646-1076
person
Provider Business Mailing Address Details
Address
1135 116Th Ave Ne
City
Bellevue
State
Washington
Zip
98004-4623
Phone Number
425-646-4700
Fax Number
425-646-1076
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0028665 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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