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

Kenneth R Johnson, MD

Individual provider Surgery Physician · NPI 1053472332

Kenneth R Johnson, MD is a Surgery Physician in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

630 N Alvernon Way Ste 180
Tucson, AZ 85711-1895
Phone: (520) 322-8450
Fax: (520) 322-5446
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Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence AZ08759 (AZ)

Record details

NPI number1053472332
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address630 N Alvernon Way Ste 180, Tucson, AZ 85711-1895

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