Johnson, Kevin Brandt
Johnson, Kevin Brandt is an individual health care provider with primary practice located at 230 Bowman St Ste C , Morristown TN 37813-3871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Kevin Brandt can be contacted via phone (423) 586-3249.Contact Information
Primary practice address
230 Bowman St Ste C
Morristown TN 37813-3871
Phone: (423) 586-3249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03105 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R1276 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02434 | Tennessee |
Profile Details
| NPI number | 1598826349 |
|---|---|
| LBN Legal business name | Johnson, Kevin Brandt |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Feb 6th, 2024 - about last year |
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 | 1598826349 | NPPES |
| Tennessee | MEDICAID | Q059168 | |
| Tennessee | MEDICAID | 7100003850 |
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