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

Kenneth Johnson

Individual provider Community Health Worker · NPI 1134096662

Kenneth Johnson is a Community Health Worker in Nampa, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

204 10th Ave S
Nampa, ID 83651-3832
Phone: (208) 466-2229
Fax: (208) 466-2667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1134096662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 20, 2025
Mailing address204 10th Ave S, Nampa, ID 83651-3832

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