Kellie Suzanne Johnson, MD

General Practice Physician · Canton, OH

Individual Active NPI

NPI number 1447307632

Practice location

2221 9TH St SW
Canton, OH 44706-1464
Phone
(330) 455-3663
Fax
(330) 455-5355

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NPI record

NPI
1447307632
Entity type
Individual (Type 1)
Enumeration date
January 3, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X 35063302J OH

Mailing address

9220 Bletchley Ave NW
North Canton, OH 44720-4599
Phone
(330) 497-5975

About Dr. Johnson

Kellie Suzanne Johnson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 2221 9TH St SW, Canton, OH 44706-1464. The NPI number 1447307632 was assigned on January 3, 2007 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #35063302J (OH) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kellie Suzanne Johnson, MD?

The NPI number is 1447307632.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (330) 455-3663.

Where is Dr. Johnson located?

2221 9TH St SW, Canton, OH 44706-1464.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 208D00000X – General Practice Physician.

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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