Individual provider · Type 1 NPI
Kevin W. Johnston, NP
Adult Health Nurse Practitioner · South Setauket, NY
NPI number
1194122267
Active
Practice location
33 Timbercrest Ln
South Setauket, NY 11720-1243
Fax (631) 675-9002
Other practice locations
- 28 Jones St, Suite 101, East Setauket, NY 11733-2941 · (631) 922-5900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 689209 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309196 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in South Setauket
About NPI 1194122267
Kevin W. Johnston, NP's National Provider Identifier is 1194122267, issued on Dec 4, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in South Setauket, NY. The record was last updated on Dec 3, 2019.