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Contact Information

KEVIN A JOHNSON, MD
1400 HANCOCK BLVD
#1208
DAYTONA BEACH, FL32114
 Phone: 386-252-2524
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

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

NPI Number 1326280991
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2009
Last updated 08/21/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 205288
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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