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Contact Information

KEVIN W JOHNSON, DO
4502 E 41ST ST
TULSA, OK74135-2536
 Phone: 918-619-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KEVIN W JOHNSON · (Male)

NPI Number 1104212562
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/13/2015
Last updated 06/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0102206028
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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