Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH LARRY JOHNSON I
Active Sole ProprietorKENNETH LARRY JOHNSON I is a Local Education Agency healthcare provider located in POMPANO BEACH, Florida. NPI 1831511807 is currently active in the NPPES registry. Verify at CMS.
Local Education Agency · POMPANO BEACH, FL
Registration Details
- NPI Number
- 1831511807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2014 (12.548185368447 yrs)
- Last Updated
- Jan 10, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
216 NE 19TH AVEPOMPANO BEACH, FL, 330606743Browse FL providers · Browse ZIP 33060
- Phone
- 9542945600
- Primary Specialty
-
Local Education Agency
251300000X
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.