Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH D JOHNSON
ActiveKENNETH D JOHNSON is a Peer Specialist healthcare provider located in CLEARLAKE OAKS, California. NPI 1922894880 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · CLEARLAKE OAKS, CA
Registration Details
- NPI Number
- 1922894880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2025 (1.1459204464177 yrs)
- Last Updated
- Apr 17, 2025
- License
-
MPSS-YDOIKM (CA)
Practice Information
- Address
-
13300 E HIGHWAY 20CLEARLAKE OAKS, CA, 954239436Browse CA providers · Browse ZIP 95423
- Phone
- 7079980310
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in CLEARLAKE OAKS, CA
| Name | Credential | NPI |
|---|---|---|
| CHARLENE JEAN DUNCAN | — | 1861213613 |
| TIFFANY FAWN BOGGS | — | 1922822105 |
| MISS PATRICIA V SANTACRUZ | — | 1326834193 |
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.