Kevin Earl Johnson

Physician Assistant · Adel, IA

Individual Active NPI

NPI number 1114721420

Practice location

1120 Greene St
Adel, IA 50003-1712
Phone
(515) 993-4656
Fax
(515) 993-4532

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NPI record

NPI
1114721420
Entity type
Individual (Type 1)
Enumeration date
April 3, 2025
Last updated
November 19, 2025
Certified
November 19, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 134561 IA

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone
(515) 643-2519
Fax
(515) 993-4532

About Kevin Johnson

Kevin Earl Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1120 Greene St, Adel, IA 50003-1712. The NPI number 1114721420 was assigned on April 3, 2025 and the record was last updated on November 19, 2025.

Kevin Johnson lists a license in the registry: #134561 (IA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Earl Johnson?

The NPI number is 1114721420.

What is the phone number of Kevin Johnson?

The phone number listed for the practice location is (515) 993-4656.

Where is Kevin Johnson located?

1120 Greene St, Adel, IA 50003-1712.

What is the taxonomy code for Kevin Johnson?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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