Kevin Wendell Johnson, MD
Family Medicine in Roy, UT. Individual provider (NPI-1).
NPI number1942799002
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1942799002
- Entity type
- Individual (NPI-1)
- Name
- Kevin Wendell Johnson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2018
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 33399 | NE | Yes |
Practice location
1915 W 5950 SRoy, UT 84067-1454
Phone 801-387-8100
Mailing address
1915 W 5950 SRoy, UT 84067-1454
Phone 801-387-8100
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