Search › Pennsylvania › 207Q00000X
Keino Johnson, D.O
NPI 1871732818 · on the registry since 2009 · sole proprietor
Practice
- Address
- 225 E City Ave Ste 109
Bala Cynwyd, PA 19004 - Phone
- (215) 503-3838
- Organisation at this address
- Recovery Home Llc
Liberation Way, Llc
Epic Professionals Llc
Ronald B. Greene, Md P.C.
Life Of Purpose - PennsylvaniaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 2424 E York St, Philadelphia, PA
- 833 Chestnut St Ste 701, Philadelphia, PA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-19
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 Pennsylvania