Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH JOE GARRISON, M.D.
ActiveKENNETH JOE GARRISON, M.D. is a General Surgery healthcare provider located in SHELL LAKE, Wisconsin. NPI 1316945512 is currently active in the NPPES registry. Verify at CMS.
General Surgery · SHELL LAKE, WI
Registration Details
- NPI Number
- 1316945512
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2005 (21.101537873406 yrs)
- Last Updated
- Jul 9, 2007
- License
-
45490 (WI)
Practice Information
- Address
-
105 4TH AVESHELL LAKE, WI, 548710189Browse WI providers · Browse ZIP 54871
- Phone
- 7154682711
- Fax
- 7154682727
- Primary Specialty
-
General Surgery
208600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.