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Kevin Mark Johnson
Driver in Sandstone, Minnesota
NPI 1568245306

Kevin Mark Johnson is a Driver based in Sandstone, MN. Kevin Mark Johnson practices in Sandstone, MN. The NPI Number for Kevin Mark Johnson is 1568245306 and holds a License No. X684224312118 (Minnesota).

The current practice location address for Kevin Mark Johnson is 606 Highway 123 W, Sandstone, MN and can be reached out via phone at 320-245-5355 and via fax at 320-216-7638.

Location: 606 Highway 123 W, Sandstone, MN, 55072-0026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568245306
Provider Name
Kevin Mark Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
606 Highway 123 W, Sandstone, MN, 55072-0026
Phone Number
320-245-5355
Fax Number
320-216-7638
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
606 Highway 123 W
City
Sandstone
State
Minnesota
Zip
55072-5060
Phone Number
320-245-5355
Fax Number
320-216-7638
person
Provider Business Mailing Address Details
Address
606 Highway 123 W
City
Sandstone
State
Minnesota
Zip
55072-5060
Phone Number
320-245-5355
Fax Number
320-216-7638
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
X684224312118 (Minnesota)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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