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Kevin Anthony Johnson, MD
Family Medicine Physician in Daytona Beach, Florida
NPI 1326280991

Kevin Anthony Johnson is a Family Medicine Physician based in Kenner, FL. Kevin Anthony Johnson practices in Daytona Beach, FL and has the professional credentials of MD. The NPI Number for Kevin Anthony Johnson is 1326280991 and holds a License No. (Florida).

The current practice location address for Kevin Anthony Johnson is 1400 Hancock Blvd, Daytona Beach, FL and can be reached out via phone at 386-252-2524.

Location: 1400 Hancock Blvd, Daytona Beach, FL, 70065-6429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326280991
Provider Name
Kevin Anthony Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 Hancock Blvd, Daytona Beach, FL, 70065-6429
Phone Number
386-252-2524
Fax Number
Provider Enumeration Date
03/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Hancock Blvd
City
Daytona Beach
State
Florida
Zip
32114
Phone Number
386-252-2524
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Hancock Blvd
City
Daytona Beach
State
Florida
Zip
32114
Phone Number
386-252-2524
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
205288 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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