Kevin M Johnson is a Surgery in Coeur D Alene, Idaho. Kevin M Johnson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kevin M Johnson is 1679685598. The last update date is 2016-09-01.
Kevin M Johnson's current location address is 608 Northwest Blvd, Coeur D Alene, Idaho. You can contact this provider via phone number 2086768346. The mailing address for Kevin M Johnson is 608 Northwest Blvd, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin M Johnson |
|---|---|
| Address | 608 Northwest Blvd, Coeur D Alene, Idaho |
| Phone Number | 2086768346 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1679685598 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2016-09-01 |
Provider Mailing Address Detail
| Address | 608 Northwest Blvd |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838142174 |
| Phone Number | 2086768346 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | M7963 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807104000 | ID | -- |
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What is the Kevin M Johnson's unique identification number?
The Kevin M Johnson has been assigned the NPI (National Provider Identifier) Number 1679685598 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kevin M Johnson located?
The Kevin M Johnson is located at 608 Northwest Blvd, Coeur D Alene, ID 838142174.
What is Kevin M Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin M Johnson is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did Kevin M Johnson receive its 1679685598 assignment from the Centers for Medicare & Medicaid Services?
The Kevin M Johnson was assigned its 1679685598 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kevin M Johnson's information last updated?
The Kevin M Johnson's information was last updated on 2016-09-01.