Johnson, Kenneth S
Johnson, Kenneth S is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Johnson, Kenneth S can be contacted via phone (616) 391-1680.Contact Information
Primary practice address
100 Michigan St Ne
Grand Rapids MI 49503-2560
Phone: (616) 391-1680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301057997 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 4301057997 | Michigan |
Profile Details
| NPI number | 1558378265 |
|---|---|
| LBN Legal business name | Johnson, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Aug 21st, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558378265 | NPPES |
| Michigan | Other | 930077745 | RAILROAD MEDICARE |
| Michigan | Other | P00411572 | RAILROAD MEDICARE |
Popular Providers
-
Oxholmuribe, Nilda M
200 Jefferson Ave Se , Grand Rapids MI 49503-4502 -
Ziegler, Aaron W
100 Michigan St Ne , Grand Rapids MI 49503-2560 -
Pierce, Bryant W
1840 Wealthy St Se , Grand Rapids MI 49506-2921 -
Olgren, Michael
200 Jefferson Ave Se , Grand Rapids MI 49503-4502 -
Miller, Mark
200 Jefferson Ave Se , Grand Rapids MI 49503-4502 -
Roe, Gretchen J
145 Michigan St Ne Suite 3410, Grand Rapids MI 49503-2562 -
Roper, Daniel
200 Jefferson Ave Se , Grand Rapids MI 49503-4502 -
Peters, Ryan A
100 Michigan St Ne , Grand Rapids MI 49503-2560