KENNETH M JOHNSON MD
NPI 1306825864
Family Medicine in Watertown, SD

Q: What is Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1306825864. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Q: What is Kenneth Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Johnson was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2006

901 4TH ST NW, WATERTOWN, SD 57201(605) 886-8471(605) 886-9317 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth M Johnson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH M JOHNSON MD (NPI 1306825864) is an individual family medicine provider in Watertown, South Dakota, licensed in South Dakota (1375) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1306825864

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH M JOHNSONCredential: MD

Location Address901 4TH ST NWWatertown, SD 57201-1558

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 886-8471 · Fax (605) 886-9317

Phone(605) 886-8471

Fax(605) 886-9317

Sole ProprietorNo

Enumeration DateJanuary 12, 2006

Last NPPES UpdateOctober 27, 2014

✔ NPI 1306825864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 1375

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

901 4TH ST NW, Watertown, SD 57201

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Other Identifiers 4

Medicare UPIND92397

Medicaid5609073SD

Medicare PIN080135781SD

Medicare PINS5978SD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY K SCHULTZ CNP

Nurse Practitioner (Family)