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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JODY MICHAEL JOHNSON, D.O.

Active Sole Proprietor

JODY MICHAEL JOHNSON, D.O. is a General Surgery healthcare provider located in PRESTONSBURG, Kentucky. NPI 1588692503 is currently active in the NPPES registry. Verify at CMS.

General Surgery · PRESTONSBURG, KY

Registration Details

NPI Number
1588692503
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2006 (20.137845922842 yrs)
Last Updated
Feb 3, 2021
Licenses
02979 (KY)
02979 (KY)
Sole Proprietor
Yes

Practice Information

Address
5000 KY ROUTE 321
SUITE 3141
PRESTONSBURG, KY, 41653
Browse KY providers · Browse ZIP 41653
Phone
6068896240
Fax
6068869908
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in PRESTONSBURG, KY

Name Credential NPI
DR. SYED G BADRUDDUJA M.D. 1225191885
DR. ARTOUR G ASRIAN M.D. 1841324159
DR. CHAD O PATTERSON MD 1023200920
MOHAMMED MEDHAT KASSEM MD 1992350284
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.