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Search › North Carolina › 208100000X

Kyle Johnson

NPI 1215618004 · on the registry since 2023 · sole proprietor

Practice

Address
195 Springbrook Ave
Clayton, NC 27520
Phone
(919) 550-7200
Organisation at this address
Everest Long Term Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina