person
Kevin Maurice Johnson, MD
Diagnostic Radiology Physician in Fairfax, Virginia
NPI 1790950897

Kevin Maurice Johnson is a Diagnostic Radiology Physician based in Fairfax, VA and is specialized in Diagnostic Radiology. Kevin Maurice Johnson practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Kevin Maurice Johnson is 1790950897 and holds a License No. D0088050 (Virginia).

The current practice location address for Kevin Maurice Johnson is 2722 Merrilee Dr, Fairfax, VA and can be reached out via phone at 703-698-4483 and via fax at 703-698-2176.

Location: 2722 Merrilee Dr, Fairfax, VA, 22031-4420
person
Provider Profile Details
NPI Number
1790950897
Provider Name
Kevin Maurice Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2722 Merrilee Dr, Fairfax, VA, 22031-4420
Phone Number
703-698-4483
Fax Number
703-698-2176
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0109 01 VA CAREFIRST BCBS
282568 01 VA KAISER PERMANENTE
9592327 01 VA AETNA - PPO
0101245083 01 VA MEDICAL LICENSE
3848144 01 VA AETNA - HMO
institution
Provider Business Practice Location Address Details
Address
2722 Merrilee Dr
City
State
Zip
22031-4420
Phone Number
703-698-4483
Fax Number
703-698-2176
person
Provider Business Mailing Address Details
Address
2722 Merrilee Dr
City
State
Zip
22031-4420
Phone Number
703-698-4483
Fax Number
703-698-2176
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
D0088050 (Maryland)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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