Kenneth Joe Garrison, M.D.
Kenneth Joe Garrison is a Surgery Physician provider (Surgery) practicing in Shell Lake, WI, registered in the NPPES registry with NPI 1316945512 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1316945512 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Kenneth Joe Garrison |
| Credential | M.D. |
| Sex | Male |
| Practice address | 105 4TH AVE, Shell Lake, WI, 54871 |
| Phone | 7154682711 |
| Fax | 7154682727 |
| Enumeration date | 2005-07-12 |
| Last updated in NPPES | 2007-07-09 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 45490 | WI |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34380700 | Medicaid | WI | — |
| 266R9GA | Other | MN | COMPREHENSIVE CARE SVS |
Copy-ready billing details
Provider: Kenneth Garrison, M.D. NPI: 1316945512 Taxonomy: 208600000X (Surgery Physician) Address: 105 4TH AVE, Shell Lake, WI, 54871
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1083722805 | Shell Lake Clinic, Ltd | Organization | Family Medicine Physician | Shell Lake, WI |
| 1588737456 | Kenneth J Garrison, MD, Sc | Organization | Surgery Physician | Shell Lake, WI |
| 1508225988 | Shell Lake Clinic, Ltd | Organization | Family Medicine Physician | Shell Lake, WI |
Verify this record
Cross-check NPI 1316945512 against the authoritative CMS record: view Kenneth Joe Garrison on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-09.