NPI 1063972487

Kyle Robert Johnson, MD

Practitioner Emergency Medicine Physician Douglas, WY

Practice location

Address: 111 S 5th St, Douglas, WY 82633-2434
Phone: (307) 358-2122

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 16983A (WY)

Other Emergency Medicine providers in Wyoming →

Registry record

NPI: 1063972487
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2019
Record last updated: 24 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.