KENNETH JOHNSON

Community Health Worker

Active Individual
NPI: 1134096662

Practice Address

204 10TH AVE S
Nampa, ID 83651

Phone: (208) 466-2229

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1134096662 is the National Provider Identifier for KENNETH JOHNSON, a Community Health Worker provider located in Nampa, ID. This NPI was enumerated on October 20, 2025.
KENNETH JOHNSON practices at 204 10TH AVE S, Nampa, ID 83651.

Quick Facts

NPI
1134096662
Type
Individual
Enumerated
Oct 20, 2025
Last Updated
Oct 24, 2025

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