Johnson, Kelvie A

Johnson, Kelvie A is an individual health care provider with primary practice located at 525 Lilly Rd Ne , Olympia WA 98506-5101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Johnson, Kelvie A can be contacted via phone (360) 493-7230.

Contact Information

Primary practice address
525 Lilly Rd Ne Olympia WA 98506-5101
Phone: (360) 493-7230
Fax: (360) 493-4180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X MD00025100 Washington

Profile Details

NPI number 1023019858
LBN Legal business name Johnson, Kelvie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023019858 NPPES
Washington MEDICAID 8303489

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