NPI 1588692503

Jody Michael Johnson, DO

Practitioner Surgery Physician Prestonsburg, KY

Practice location

Address: 5000 Ky Route 321 Suite 3141, Prestonsburg, KY 41653
Phone: (606) 889-6240
Fax: (606) 886-9908
Mailing address: PO Box 1239, Prestonsburg, KY 41653-5239

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 02979 (KY)

Other Surgery providers in Kentucky →

Addiction Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QA0401X Licence 02979 (KY)

Other Family Medicine providers in Kentucky →

Registry record

NPI: 1588692503
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2006
Record last updated: 3 Feb 2021

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.