DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KENNETH IAN JOHNSON MD

MEDICARE: KENNETH IAN JOHNSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME73635FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME73635OTHERFLSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457349508
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH IAN JOHNSON MD
Provider Business Mailing Address
First Line : 1555 INDIAN RIVER BLVD STE B210
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7113
Country : US
Telephone Number : 772-257-8224
Fax Number : 772-252-3245
Provider Business Practice Location Address
First Line : 1545 9TH ST SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32962-4312
Country : US
Telephone Number : 772-257-8224
Fax Number : 772-252-3245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 02/05/2025

Similar Medicare Providers

1770585275 — DR. ROBERT JOSEPH DAVIS D.D.S.
Practice Location Address:
1545 9TH ST SW
VERO BEACH, FL
32962-4312
Practice Phone: 772-257-8224
Practice Fax: 772-252-3245
1225024730 — DR. PRASAD R SIRIPURAPU MD
Practice Location Address:
1545 9TH ST SW
VERO BEACH, FL
32962-4312
Practice Phone: 772-257-8224
Practice Fax: 772-213-3157
1053386284 — DR. HEMANT P GUNDAVDA M.D.
Practice Location Address:
1545 9TH ST SW
VERO BEACH, FL
32962-4312
Practice Phone: 772-257-8224
Practice Fax: 772-213-3157
1841237260 — DR. YADIRA PADIN-ROJAS MD
Practice Location Address:
1545 9TH ST SW
VERO BEACH, FL
32962-4312
Practice Phone: 772-257-8224
Practice Fax: 772-213-3157
1538179528 — DR. NEIL LAWRENCE KRONICK DDS
Practice Location Address:
1545 9TH ST SW
VERO BEACH, FL
32962-4312
Practice Phone: 772-257-8224
Practice Fax: 772-213-3157
1356413728 — JULIETTE ADELINA VALERIANO MD
Practice Location Address:
1545 9TH ST SW
VERO BEACH, FL
32962-4312
Practice Phone: 772-257-8224
Practice Fax: 772-213-3157

Directions to “ KENNETH IAN JOHNSON MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.