Dr. Carl Kenneth Johnson
Oral and Maxillofacial Pathology
601 S Carr Rd #300
Renton
, Washington 98055-5840
Dr. Carl Kenneth Johnson
Oral and Maxillofacial Pathology
601 S Carr Rd #300
Renton
, Washington 98055-5840
(425) 271-6766
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Carl Kenneth Johnson
- 601 S. Carr Rd #300
- Renton, WA
- Zip : 98055-5840
- Fax : (425) 271-6766
- Phone : (425) 277-1844
Second Address
- Dr. Carl Kenneth Johnson
- 601 S Carr Rd #300
- Renton, WA
- Zip : 98055-5840
- Fax : (425) 271-6766
- Phone : (425) 277-1844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 6475 | WA |
National Provider Identifier
| NPI | 1952494676 |
|---|---|
| Provider Name | Dr. Carl Kenneth Johnson |
| First Address | Renton, WA 98055-5840 |
| Second Address | Renton, WA 98055-5840 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 07/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 911646137 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.