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Kalvin Johnson
NPI 1730886599 · on the registry since 2023
Practice
- Address
- 4825 58th Ave N
Crystal, MN 55429 - Phone
- (701) 213-0726
- Fax
- (612) 446-5798
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-13
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota