Individual
DR. KENNETH E. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TRAP FALLS RD, SUITE 414, SHELTON, CT 06484-4616
(203) 929-7353
(203) 929-0756
Mailing address
2 TRAP FALLS ROAD, SUITE 414, EAST HARTFORD, CT 06108-7301
(203) 929-7353
(203) 929-0756
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101248348
VA
207L00000X
Anesthesiology Physician
242318
MA
207L00000X
Anesthesiology Physician
Primary
261461
NY
Other
Enumeration date
01/22/2007
Last updated
07/18/2016
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