Johnston, Kevin W

Johnston, Kevin W is an sole proprietor health care provider with primary practice located at 33 Timbercrest Ln , South Setauket NY 11720-1243. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Johnston, Kevin W can be contacted via phone (631) 922-5900.

Contact Information

Primary practice address
33 Timbercrest Ln South Setauket NY 11720-1243
Phone: (631) 922-5900
Fax: (631) 675-9002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 689209 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F309196 New York

Profile Details

NPI number 1194122267
LBN Legal business name Johnston, Kevin W
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2014
Last updated Dec 3rd, 2019 - about 7 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 1194122267 NPPES
New York Other F309196 NY STATE OFFICE OF PROFESSIONS

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