Individual provider · Type 1 NPI

Kevin Wayne Johnson, DO

Child & Adolescent Psychiatry Physician · Tulsa, OK

NPI number 1104212562 Active

Practice location

4502 E 41st St
Tulsa, OK 74135-2536

Call (918) 619-4400 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X0102206028 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Child & Adolescent Psychiatry Physician Primary 2084P0804X0102206028 (VA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1104212562

Kevin Wayne Johnson, DO's National Provider Identifier is 1104212562, issued on Apr 13, 2015. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Tulsa, OK. The record was last updated on Jun 12, 2020.