KEVIN JOHNSON

SMH PHYSICIAN SERVICES INC

Dr KEVIN JOHNSON is a male medical professional, specializing in Internal Medicine. He graduated in 2012 from Marshall University School Medicine.

Contact

SMH PHYSICIAN SERVICES INC

929 S TAMIAMI TRL
OSPREY
FL
342299241

Tel:

KEVIN JOHNSON Information

Npi 1972863827
Pac Id 4880828318
Professional Enrollment Id I20150812007978
Last Name JOHNSON
First Name KEVIN
Middle Name
Suffix
Gender M
Credential
Medical School Name MARSHALL UNIVERSITY SCHOOL MEDICINE
Graduation Year 2012
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SMH PHYSICIAN SERVICES INC
Group Practice Pac Id 1355240177
Number Of Group Practice Members 221
Line 1 Street Address 929 S TAMIAMI TRL
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City OSPREY
State FL
Zip Code 342299241
Phone Number
Hospital Affiliation Ccn 1 100087
Hospital Affiliation Lbn 1 SARASOTA MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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