NPI
Kyle Michael Johnson
NPI 1528070539
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- ATC
- Type
- Individual
- Enumeration date
- 2006-08-12
- Last updated
- 2007-07-08
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Specialties
Licenses
- License IL
- 096.001956
Location
- Practice location
- 320 E Carpenter St, 1-B
- City
- Springfield IL
- Postal code
- 62702-5185
- Phone
- (217) 744-8000
- Fax
- (217) 744-8004
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Specialist/Technologist, Athletic Trainer providers in Springfield, IL. 26 with this primary taxonomy in the public file.
Other NPIs in Springfield, IL. 5,943 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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