Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Alexander Johnston, MD

Individual provider Family Medicine Physician · NPI 1639630742

Dr. Kevin Alexander Johnston, MD is a Family Practice in Owosso, Michigan. Graduated from Michigan State University College of Human Medicine in 2019, 7 years ago. Practices with Memorial Hospital, a 206-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

239 N State Rd
Owosso, MI 48867-9075
Phone: (989) 743-3415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-2341

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301506530 (MI)

Record details

NPI number1639630742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2019
Last updated in NPPESOctober 10, 2022
Certification dateOctober 10, 2022
Mailing address239 N State Rd, Owosso, MI 48867-9075

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2019 (7 years in practice)
Group practice Memorial Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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