Kyle D Johnson, MD | |
350 23rd Avenue E, Ste 102, West Fargo, ND 58078-7402 | |
(701) 235-1924 | |
(701) 235-6304 |
Full Name | Kyle D Johnson |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 13 Years |
Location | 350 23rd Avenue E, West Fargo, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588959472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 14194 (North Dakota) | Primary |
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
Entity Name | Sanford Bismarck |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1598185597 PECOS PAC ID: 9739098575 Enrollment ID: O20040304000249 |
Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
Entity Name | Kyle Johnson Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306627807 PECOS PAC ID: 3173976081 Enrollment ID: O20240126003230 |
Mailing Address | Practice Location Address |
---|---|
Kyle D Johnson, MD 350 23rd Avenue E, Ste 102, West Fargo, ND 58078-7402 Ph: (701) 235-1924 | Kyle D Johnson, MD 350 23rd Avenue E, Ste 102, West Fargo, ND 58078-7402 Ph: (701) 235-1924 |
Dr. Lesley A Soine, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 350 23rd Ave E Ste 102, West Fargo, ND 58078 Phone: 701-235-1924 Fax: 701-235-6304 |