NPI 1134096662
Kenneth Johnson
Practice location
- Address
- 204 10th Ave S, Nampa, ID 83651-3832
- Phone
- (208) 466-2229
- Fax
- (208) 466-2667
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1134096662
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Oct 2025
- Record last updated
- 24 Oct 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.