| Doctor Name: | KEVIN K JOHNSON |
| NPI Number: | 1003878448 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25044 |
| Business Practice Address: | 501 E Hampden Ave Englewood, CO - 801132702 |
| Business Phone Number: | 3037619190 |
| Business Fax Number: | 3037616322 |
| Mailing Address: | 10700 E Geddes Ave, No 200 ENGLEWOOD |
| State: | CO |
| Postal Code: | 801123800 |
| Phone Number: | 3037619190 |
| Fax Number: | 3037616278 |
| NPI Enumeration Date: | 04/03/2006 |
| NPI Last Update Date: | 09/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 25044 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |