Johnson, Ken
Johnson, Ken is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Johnson, Ken can be contacted via phone (678) 312-1000.Contact Information
Primary practice address
1000 Medical Center Blvd
Lawrenceville GA 30046-7694
Phone: (678) 312-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 112888 | Georgia |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 112888 | Georgia |
Profile Details
| NPI number | 1538809942 |
|---|---|
| LBN Legal business name | Johnson, Ken |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2022 |
| Last updated | Aug 20th, 2026 - about 2 months 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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