Search › Georgia › 124Q00000X
Kyle Johnson, RDH
NPI 1588014021 · on the registry since 2016
Practice
- Address
- 1109 S Park St Ste 504
Carrollton, GA 30117 - Phone
- (253) 242-3494
- Organisation at this address
- Publix Pharmacy
Boeyink Eyecare Pc
Glance Eye Care Llc
Luxottica Of America Inc
Publix Super Markets IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 7117 40th St W, University Place, WA
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Also registered as
- 1744P3200X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-22
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 Georgia