Search › Missouri › 152W00000X
Kyle Johnson, O.D
NPI 1699785410 · on the registry since 2006
Practice
- Address
- 1104 E Ohio St
Clinton, MO 64735 - Phone
- (660) 864-7116
- Fax
- (660) 864-7124
- Organisation at this address
- Eyecare Specialties Of Missouri Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- MO, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-07
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 Missouri