Kevin Johnson, MD

NPI 1679685598 · on the registry since 2006

Practice

Address: 608 Northwest Blvd
Suite 301
Coeur D Alene, ID 83814
Phone: (208) 676-8346
Fax: (208) 664-5345
Organisation at this address: Lake City Surgeons Pllc
Laser And Vein Center Pllc
Coeur D'Alene Surgical And Vein
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Surgery Physician
208600000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-09-01

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 Idaho