Kermit Johnson
Kermit Johnson is a Psychiatry Physician in Oakland, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
568 W Grand AveOakland, CA 94612-1618
Phone: (510) 268-7837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence G45056 (CA) |
|---|
Record details
| NPI number | 1154533230 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 43575 Mission Blvd # 106, Fremont, CA 94539-5831 |
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