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Kevin W Johnson, CRNA

Nurse Anesthetist, Certified Registered in Galveston, TX. Individual provider (NPI-1).

NPI number1407844483
StatusActive
Last updated in NPPESMar 22, 2010

Details

NPI
1407844483
Entity type
Individual (NPI-1)
Name
Kevin W Johnson
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 12, 2005
Last updated
Mar 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered616186TXYes

Practice location

301 University Blvd
Galveston, TX 77555-5302

Phone 409-772-2222

Mailing address

301 University Blvd
Galveston, TX 77555-5302

Phone 409-772-2222

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