Kelvie A Johnson in Olympia - Adolescent Medicine
Kelvie A Johnson - NPI 1023019858
Kelvie A Johnson is a Adolescent Medicine in Olympia, Washington. Kelvie A Johnson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Kelvie A Johnson is 1023019858. The last update date is 2021-03-01.
Kelvie A Johnson's current location address is 525 Lilly Rd Ne, Olympia, Washington. You can contact this provider via phone number 3604937230 and fax number 3604934180. The mailing address for Kelvie A Johnson is 525 Lilly Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelvie A Johnson |
|---|---|
| Address | 525 Lilly Rd Ne, Olympia, Washington |
| Phone Number | 3604937230 |
| Fax Number | 3604934180 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023019858 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2021-03-01 |
Provider Mailing Address Detail
| Address | 525 Lilly Rd Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985065101 |
| Phone Number | 3604937230 |
| Fax Number | 3604934180 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | MD00025100 |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8303489 | WA | -- |
Post Comment/ Review Below
What is the Kelvie A Johnson's 1023019858?
The Kelvie A Johnson's NPI (National Provider Identifier) Number is 1023019858. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelvie A Johnson is physically located?
The Kelvie A Johnson is situated at the following address: 525 Lilly Rd Ne, Olympia, WA 985065101.
What is Kelvie A Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelvie A Johnson's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0000X.
On what date did the Kelvie A Johnson receive the assignment of its 1023019858 from the Centers for Medicare & Medicaid Services?
The Kelvie A Johnson was issued its 1023019858 by the Centers for Medicare & Medicaid Services on 2005-08-02.
When was the information related to Kelvie A Johnson most recently updated or refreshed?
The details pertaining to the Kelvie A Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-01.
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