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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326280991

Kevin Anthony Johnson, MD is a Student in an Organized Health Care Education/Training Program in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2009
Specialties on file
2
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

1400 Hancock Blvd #1208
Daytona Beach, FL 32114
Phone: (386) 252-2524
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 205288 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1326280991
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2009
Last updated in NPPESAugust 21, 2018
Mailing address3602 S Loyola Dr Apt 296, Kenner, LA 70065-6429

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