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

Kyle D Johnson, MD

Individual provider Otolaryngology Physician · NPI 1588959472

Kyle D Johnson, MD is an Otolaryngology in West Fargo, North Dakota. Qualified in 2011, 15 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
15
Licensed in
ND
In the registry since
2011
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

350 23rd Ave E Ste 102
West Fargo, ND 58078-7402
Phone: (701) 235-1924
Fax: (701) 235-6304
Show map & directions

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

Additional practice locations (1)

  • 801 Broadway N, Fargo, ND 58102-3641 — (701) 234-2441

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 14194 (ND)

Record details

NPI number1588959472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2011
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address350 23rd Avenue E, Ste 102, West Fargo, ND 58078-7402

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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