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

Individual provider Emergency Medicine Physician · NPI 1366486458

Kenneth M Johnson, MD is an Emergency Medicine Physician in Green Bay, Wisconsin. Works from 6 locations. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2661 County Highway I, Chippewa Falls, WI 54729-5407 — (414) 290-6720
  • 900 W Clairemont Ave, Eau Claire, WI 54701-6122 — (414) 290-6720
  • 835 S Van Buren St, Green Bay, WI 54301-3526 — (414) 290-6720
  • 3100 Superior Ave, Sheboygan, WI 53081-1948 — (414) 290-6720
  • 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 — (414) 290-6720

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 53595-020 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-078597 (IL)

Record details

NPI number1366486458
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address111 E Wisconsin Ave, Milwaukee, WI 53202-4815

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