person
Kent Alan Johnson, NP
Psychiatric/Mental Health Nurse Practitioner in Newkirk, Oklahoma
NPI 1437573508

Kent Alan Johnson is a Psychiatric/Mental Health Nurse Practitioner based in Fairfax, OK and is specialized in Psychiatric/Mental Health. Kent Alan Johnson practices in Newkirk, OK and has the professional credentials of NP. The NPI Number for Kent Alan Johnson is 1437573508 and holds a License No. 86602 (Oklahoma).

The current practice location address for Kent Alan Johnson is 716 S Highway 77, Newkirk, OK and can be reached out via phone at 580-362-2555 and via fax at 580-362-2948.

Location: 716 S Highway 77, Newkirk, OK, 74637-3023
person
Provider Profile Details
NPI Number
1437573508
Provider Name
Kent Alan Johnson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
716 S Highway 77, Newkirk, OK, 74637-3023
Phone Number
580-362-2555
Fax Number
580-362-2948
Provider Enumeration Date
02/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
344359YRHZ 01 OK MEDICARE PTAN
200528420A 05 OK
institution
Provider Business Practice Location Address Details
Address
716 S Highway 77
City
State
Zip
74647-7009
Phone Number
580-362-2555
Fax Number
580-362-2948
person
Provider Business Mailing Address Details
Address
716 S Highway 77
City
State
Zip
74647-7009
Phone Number
580-362-2555
Fax Number
580-362-2948
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
86602 (Oklahoma)
Definition
Definition to come...
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