Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAVIN J JOHNSON, MD
Active Sole ProprietorKAVIN J JOHNSON, MD is a Internal Medicine healthcare provider located in CHARLESTON, Tennessee. NPI 1689673105 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · CHARLESTON, TN
Registration Details
- NPI Number
- 1689673105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2005 (21.033912559623 yrs)
- Last Updated
- Nov 25, 2014
- License
-
21478 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9029 HIWASSEE ST NWCHARLESTON, TN, 373105305Browse TN providers · Browse ZIP 37310
- Phone
- 4236659026
- Fax
- 4235846747
- Primary Specialty
-
Internal Medicine
207R00000X
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.