Individual provider · Type 1 NPI

Kenneth Johnson

Driver · Rocky Mount, NC

NPI number 1316613359 Active

Practice location

115 Spring Glenn Ct
Rocky Mount, NC 27803-8010

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X000022128241 (NC)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1316613359

Kenneth Johnson's National Provider Identifier is 1316613359, issued on Aug 19, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Rocky Mount, NC. The record was last updated on Aug 19, 2021.