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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.

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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

What specialty is Kenneth Garrison?
Kenneth Garrison is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-09.