Kevin M Johnson, MD | |
608 Northwest Blvd, Suite 301, Coeur D Alene, ID 83814-2174 | |
(208) 676-8346 | |
(208) 664-5345 |
Full Name | Kevin M Johnson |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 608 Northwest Blvd, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679685598 | NPI | - | NPPES |
807104000 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M7963 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kevin M Johnson, MD 608 Northwest Blvd, Suite 301, Coeur D Alene, ID 83814-2174 Ph: (208) 676-8346 | Kevin M Johnson, MD 608 Northwest Blvd, Suite 301, Coeur D Alene, ID 83814-2174 Ph: (208) 676-8346 |
Dr. Lucas Aaron Anderson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Michael Thomas May, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814 Phone: 208-625-5200 Fax: 208-625-5201 | |
Dr. Robert Sumner West, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3621 W Fairway Dr, Coeur D Alene, ID 83815 Phone: 208-765-0714 Fax: 209-664-8238 | |
Dr. Edward Gerard Detar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814 Phone: 208-625-5200 Fax: 208-625-5201 | |
Dr. Marcus Jewell Torgenson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 341, Coeur D Alene, ID 83814 Phone: 208-625-5200 Fax: 208-625-5201 | |
Benjamin Mandel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5085 Fax: 208-625-5731 | |
Matthew Lauritz Low, MD Surgery Medicare: Medicare Enrolled Practice Location: 700 W Ironwood Dr Ste 350, Coeur D Alene, ID 83814 Phone: 208-625-5222 Fax: 208-625-5223 |