Kevin Neil Johnson, PT,ATC is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Lakeville, Minnesota. Kevin Neil Johnson is licensed to practice in Minnesota (license number 4901) and his current practice location is 9913 214th St W Ste B, Lakeville, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(952) 985-2020.
NPI number for Kevin Neil Johnson is 1770806374 and his current mailing address is 9913 214th St W Ste B, Lakeville, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770806374.
Physician's Profile
| Full Name | Kevin Neil Johnson |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 9913 214th St W Ste B, Lakeville, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770806374
- Provider Enumeration Date: 03/10/2010
- Last Update Date: 03/10/2010
Medical Identifiers
Medical identifiers for Kevin Neil Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770806374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 4901 (Minnesota) | 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. Kevin Neil 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 |
|---|
Kevin Neil Johnson, PT,ATC
9913 214th St W Ste B,
Lakeville, MN 55044-1914
Ph: (952) 985-2020 | Kevin Neil Johnson, PT,ATC
9913 214th St W Ste B,
Lakeville, MN 55044-1914
Ph: (952) 985-2020 |
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