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Kenneth M Johnson, MD

Family Medicine in Watertown, SD. Individual provider (NPI-1).

NPI number1306825864
StatusActive
Last updated in NPPESOct 27, 2014

Details

NPI
1306825864
Entity type
Individual (NPI-1)
Name
Kenneth M Johnson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 12, 2006
Last updated
Oct 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine1375SDYes

Practice location

901 4th St Nw
Watertown, SD 57201-1558

Phone 605-886-8471 · Fax 605-886-9317

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

Phone 605-886-8471 · Fax 605-886-9317

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