Mr. LARRY C JOHNSON MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1285653618- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 120 PROGRESS WAY, OWENTON, KY, 403596032
- Phone
- (844) 655-6100
- Fax
- (502) 484-2102
Specialties & Taxonomies
Family Medicine
Primary License: KY #35775
Emergency Medicine
License: KY #35775