Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kendrick O Johnson, DO

Individual provider Family Medicine Physician · NPI 1558700054

Dr. Kendrick O Johnson, DO is a Family Practice in Williams, Arizona. Qualified in 2013, 13 years ago. Works from 2 locations. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

300 S 6th St
Williams, AZ 86046-0110
Phone: (928) 635-4441
Fax: (928) 635-4403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Clinic Rd, Grand Canyon, AZ 86023-0290 — (928) 638-2551

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6702 (AZ)

Record details

NPI number1558700054
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 18, 2013
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address300 S 6th St, Williams, AZ 86046-0110

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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