Dr. Stephen Kennedy Johnson, MD, PHD - Louisville, KY

Dr. Stephen Kennedy Johnson, MD,PHD

Pediatrics Physician in Louisville, Kentucky

NPI 1417155953

Stephen Kennedy Johnson is a Pediatrics Physician based in Chicago, KY. Stephen Kennedy Johnson practices in Louisville, KY and has the professional credentials of MD,PHD. The NPI Number for Stephen Kennedy Johnson is 1417155953 and holds a License No. 1376 (Kentucky).

The current practice location address for Stephen Kennedy Johnson is 10211 Westport Rd, Louisville, KY and can be reached out via phone at 502-339-0444 and via fax at 502-339-1717.

Location: 10211 Westport Rd, Louisville, KY, 60677-6879

NPI Number

1417155953

Provider Name

Stephen Kennedy Johnson

Credential

MD,PHD

Provider Entity Type

Individual

Gender

Male

Address

10211 Westport Rd, Louisville, KY, 60677-6879

Phone Number

502-339-0444

Fax Number

502-339-1717

Provider Enumeration Date

07/05/2007

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
50079132	01	KY	PASSPORT-NCMA
000000885933	01	KY	ANTHEM-NCMA
165151	01	KY	SIHO-NCMA
7100215230	05	KY

Address

10211 Westport Rd

City

Louisville

State

Kentucky

Zip

40241-2147

Phone Number

502-339-0444

Fax Number

502-339-1717

Address

10211 Westport Rd

City

Louisville

State

Kentucky

Zip

40241-2147

Phone Number

502-339-0444

Fax Number

502-339-1717

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Clinical

Taxonomy

103TC0700X

License No.

46857 (Kentucky)

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Type

Allopathic & Osteopathic Physicians

Classification

Pediatrics

Speciality

Taxonomy

208000000X

License No.

()

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

1376 (Kentucky)

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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