Kevin Maurice Johnson M.D.

NPI 1790950897 - Radiology - 2085R0202X

NPI Details
NPI 1790950897
Gender Male
Enumeration Date 04/29/2008
Last Updated 08/26/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
2722 MERRILEE DR
SUITE 230
FAIRFAX VA, 22031-4420, US
Phone (703) 698-4483
Fax (703) 698-2176
Business Location
2722 MERRILEE DR
SUITE 230
FAIRFAX VA, 22031-4420, US
Phone (703) 698-4483
Fax (703) 698-2176
Toxanomy
Taxonomy Code 2085R0202X
License State Virginia
License Number 0101245083
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According to our database, Kevin Maurice Johnson M.D. NPI is 1790950897, taxonomy code is 2085R0202X and license number is 0101245083, license state is located at Virginia. Kevin Maurice Johnson M.D. physically located at 2722 Merrilee Dr, Fairfax VA, 22031-4420. NPI Number Kevin Maurice Johnson M.D. has the Individual type.

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1790950897 NPI number is provided on an as is basis without warranty of any kind. 1790950897 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Maurice Johnson M.D. are for informational purposes only.