IndividualActive
Kevin Johnson, DO
NPI 1104212562 · Child & Adolescent Psychiatry Physician · Tulsa, OK
Provider details
- NPI number
- 1104212562
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0102206028 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
4502 E 41st St
Tulsa, OK 74135-2536
Phone: (918) 619-4400
Approximate (ZIP-level) locationGet directions
Mailing address
4502 E 41st St
Tulsa, OK 74135-2536
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2020-06-12
- Certified
- 2020-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.