Kenneth J Garrison, MD, Sc
Kenneth J Garrison, MD, Sc is a healthcare organization registered as Surgery Physician in Shell Lake, WI, holding Type 2 (organization) NPI 1588737456 since 2006. The authorized official on file is Kenneth Garrison, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588737456 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kenneth J Garrison, MD, Sc |
| Practice address | 105 4TH AVE, Shell Lake, WI, 54871 |
| Phone | 7154682711 |
| Fax | 7154682727 |
| Enumeration date | 2006-11-16 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Kenneth Garrison |
|---|---|
| Title | President |
| Phone | 7158223654 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 45490 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26097135226 | Other | MN | PREFERRED ONE |
| 1701193 | Other | WI | SELECTCARE |
| 108390 | Other | MN | HEALTH PARTNERS |
| 5999172200 | Other | MN | MN MEDICAID |
| 266R0GA | Other | MN | COMPREHENSIVE CARE SVS |
| P00013163 | Other | WI | RAILROAD MEDICARE |
| 1701194 | Other | WI | SELECTCARE |
| 34380700 | Medicaid | WI | — |
Copy-ready billing details
Provider: Kenneth J Garrison, MD, Sc NPI: 1588737456 Taxonomy: 208600000X (Surgery Physician) Address: 105 4TH AVE, Shell Lake, WI, 54871
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1316945512 | Kenneth Garrison | Individual | Surgery Physician | Shell Lake, WI |
| 1083722805 | Shell Lake Clinic, Ltd | Organization | Family Medicine Physician | Shell Lake, WI |
| 1508225988 | Shell Lake Clinic, Ltd | Organization | Family Medicine Physician | Shell Lake, WI |
Verify this record
Cross-check NPI 1588737456 against the authoritative CMS record: view Kenneth J Garrison, MD, Sc 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 is the NPI number for Kenneth J Garrison, MD, Sc?
Who is the authorized official for Kenneth J Garrison, MD, Sc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.