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Kenneth James Johnson, MD
General Practice Physician in Jbsa Lackland, Texas
NPI 1396366530

Kenneth James Johnson is a General Practice Physician based in San Antonio, TX. Kenneth James Johnson practices in Jbsa Lackland, TX and has the professional credentials of MD. The NPI Number for Kenneth James Johnson is 1396366530 and holds a License No. 0101275879 (Texas).

The current practice location address for Kenneth James Johnson is 1100 Wilford Hall Loop, Jbsa Lackland, TX and can be reached out via phone at 937-546-4642.

Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396366530
Provider Name
Kenneth James Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop, Jbsa Lackland, TX, 78234-4504
Phone Number
937-546-4642
Fax Number
Provider Enumeration Date
04/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
937-546-4642
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
937-546-4642
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101275879 (Virginia)
Definition
Definition to come...
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