Individual provider · Type 1 NPI

Kevin Johnson, DO MEDICAL STUDENT

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1740082809 Active

Practice location

7754 Pacific Dunes St
Las Vegas, NV 89139-6552

Call (702) 499-2004 Map

Mailing address

874 American Pacific Dr
Henderson, NV 89014-8800

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740082809

Kevin Johnson, DO MEDICAL STUDENT's National Provider Identifier is 1740082809, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 27, 2025.