Kyle Johnson, ATC

NPI 1528070539 · on the registry since 2006 · sole proprietor

Practice

Address: 320 E Carpenter St
1-B
Springfield, IL 62702
Phone: (217) 744-8000
Fax: (217) 744-8004
Organisation at this address: Jennifer S Lee Md Llc
Memorial Medical Center
Watson Orthopaedics Llc
Memorial Medical Center
Robert C Russell M D S C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Illinois