Kyle Matthew Johnson, is a
Community Health Worker based in San Francisco, California. Kyle Matthew Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is
368 Fell St, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 861-0828.
NPI number for Kyle Matthew Johnson is 1104158351 and his current mailing address is 368 Fell St, San Francisco, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104158351.
Healthcare Provider's Profile
| Full Name | Kyle Matthew Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 368 Fell St, San Francisco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104158351
- Provider Enumeration Date: 02/12/2010
- Last Update Date: 11/01/2013
Medical Identifiers
Medical identifiers for Kyle Matthew Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104158351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Matthew Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Matthew Johnson,
368 Fell St,
San Francisco, CA 94102-5144
Ph: (415) 861-0257 | Kyle Matthew Johnson,
368 Fell St,
San Francisco, CA 94102-5144
Ph: (415) 861-0828 |
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