Individual provider · Type 1 NPI

Kyle Johnson, DO

Family Medicine Physician · St. Louis, MO

NPI number 1174053920 Active

Practice location

12680 Olive Blvd Ste 300
St. Louis, MO 63141-6322

Call (314) 251-8888 Map

Mailing address

615 S New Ballas Rd
St. Louis, MO 63141-8221

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X2017019521 (MO)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1174053920

Kyle Johnson, DO's National Provider Identifier is 1174053920, issued on Jun 14, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 14, 2017.