Johnson, Kenneth B
Johnson, Kenneth B is an individual health care provider with primary practice located at 12720 Hillcrest Rd Ste 300 , Dallas TX 75230-2089. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Johnson, Kenneth B can be contacted via phone (214) 814-1550.Contact Information
Primary practice address
12720 Hillcrest Rd Ste 300
Dallas TX 75230-2089
Phone: (214) 814-1550
Fax: (214) 814-1350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | J8608 | Texas |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | J8608 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | J8608 | Texas |
Profile Details
| NPI number | 1588628739 |
|---|---|
| LBN Legal business name | Johnson, Kenneth B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | May 30th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588628739 | NPPES |
| Texas | MEDICAID | 103576803 | |
| Texas | MEDICAID | 103576801 |
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