Kenneth Johnson

NPI #1134096662 in Nampa, Idaho

Provider Information

NPI Number
1134096662
Entity Type
Individual
Name
Kenneth Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Oct 20, 2025
Last Updated
Oct 24, 2025

Practice Location

Address
204 10TH AVE S
City
Nampa
State
Idaho
ZIP Code
83651-3832
Phone
(208) 466-2229

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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