NPI 1073519070
Carl M Johnson, MD
Practice location
- Address
- 2601 Kentucky Ave STE 300, Paducah, KY 42003-3826
- Phone
- (270) 443-5564
- Fax
- (270) 443-5549
- Mailing address
- 2601 Kentucky Ave STE 306, Paducah, KY 42003-3817
Registered specialties
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1073519070
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jun 2005
- Record last updated
- 4 Dec 2020
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.