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KENNETH JOE GARRISON M.D.
NPI 1316945512
Surgery in Shell Lake, WI

Active since July 12, 2005
105 4TH AVE, SHELL LAKE, WI 54871(715) 468-2711(715) 468-2727 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Joe Garrison M.d. NPPES

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

KENNETH JOE GARRISON M.D. (NPI 1316945512) is an individual surgery provider in Shell Lake, Wisconsin, licensed in Wisconsin (45490) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1316945512
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKENNETH JOE GARRISONCredential: M.D.
Location Address105 4TH AVEShell Lake, WI 54871-0189
Mailing AddressPo Box 189Shell Lake, WI 54871-0189 · (715) 468-2711 · Fax (715) 468-2727
Phone(715) 468-2711
Fax(715) 468-2727
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1316945512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 45490
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
105 4TH AVE, Shell Lake, WI 54871
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Other Identifiers 4

Medicare ID-Type Unspecified166001WI · Medicare Provider Number
Other266R9GAMN · Comprehensive Care Svs
Medicare UPINA46432
Medicaid34380700WI

Other Providers at the Same Location NPPES 3

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

SHELL LAKE CLINIC, LTD
Family Medicine
105 4TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2711
SHELL LAKE CLINIC, LTD
Family Medicine
105 4TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2711
KENNETH J GARRISON, MD, SC
Surgery
105 4TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Garrison's NPI number?

The NPI number for Kenneth Garrison is 1316945512. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Kenneth Garrison located?

Kenneth Garrison practices at 105 4th Ave, Shell Lake, WI 54871. The listed phone number is (715) 468-2711.

What is Kenneth Garrison's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kenneth Garrison was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.