Individual provider · Type 1 NPI

Kenneth M. Johnson, LPN

Licensed Practical Nurse · Fort Meade, MD

NPI number 1497746549 Active

Practice location

2480 Llewellyn Ave
Fort Meade, MD 20755-5800

Call (301) 677-8394 Map

Fax (301) 677-8876

Mailing address

14018 Briarwood Dr
Laurel, MD 20708-1308

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP24559 (MD)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1497746549

Kenneth M. Johnson, LPN's National Provider Identifier is 1497746549, issued on Oct 28, 2005. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Meade, MD. The record was last updated on Jul 13, 2026.