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

Kevin B Johnson, MD

Individual provider Internal Medicine Physician · NPI 1255456497

Kevin B Johnson, MD is an Internal Medicine in West Jordan, Utah. Graduated from University of Utah School of Medicine in 1978, 48 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
48
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2007
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

3570 W 9000 S Ste 100
West Jordan, UT 84088
Phone: (801) 903-5620
Fax: (385) 351-6718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 — (801) 569-2384

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 176259-1205 (UT)

Record details

NPI number1255456497
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing addressPo Box 800022, Kansas City, MO 64180-0022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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