person
Michael Ryan Johnson, DPM
Foot & Ankle Surgery Podiatrist in Madisonville, Kentucky
NPI 1730422791

Michael Ryan Johnson is a Foot & Ankle Surgery Podiatrist based in Madisonville, KY and is specialized in Foot & Ankle Surgery. Michael Ryan Johnson practices in Madisonville, KY and has the professional credentials of DPM. The NPI Number for Michael Ryan Johnson is 1730422791 and holds a License No. 00460 (Kentucky).

The current practice location address for Michael Ryan Johnson is 200 Clinic Dr, Madisonville, KY and can be reached out via phone at 270-825-7258 and via fax at 270-825-7357. You can also correspond with Michael Ryan Johnson through the mailing address at 200 CLINIC DR, MADISONVILLE, KY - 42431-1661 (mailing address contact number: 270-825-7258).

Location: 200 Clinic Dr, Madisonville, KY, 42431-1661
person
Provider Profile Details
NPI Number
1730422791
Provider Name
Michael Ryan Johnson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
200 Clinic Dr, Madisonville, KY, 42431-1661
Phone Number
270-825-7258
Fax Number
270-825-7357
Provider Enumeration Date
03/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K212370 01 KY MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
200 Clinic Dr
City
State
Zip
42431-1661
Phone Number
270-825-7258
Fax Number
270-825-7357
person
Provider Business Mailing Address Details
Address
200 Clinic Dr
City
State
Zip
42431-1661
Phone Number
270-825-7258
Fax Number
270-825-7357
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00460 (Kentucky)
Definition
Definition to come...
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