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MARY ANN KENNESON, M.D., LLC
NPI 1285983098
Specialist in Orange Park, FL

Active since September 07, 2012
1895 KINGSLEY AVE STE 903, ORANGE PARK, FL 32073(904) 644-8353(904) 644-8289 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ann Kenneson, M.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN KENNESON, M.D., LLC (NPI 1285983098) is a healthcare organization registered as a specialist in Orange Park, Florida and active in the NPI registry since September 2012. The organization lists Maryann Kenneson, President, as its authorized official.

NPPES Registry Identity

NPI1285983098
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARY ANN KENNESON, M.D., LLC
Location Address1895 KINGSLEY AVE STE 903Orange Park, FL 32073-4410
Mailing Address1895 Kingsley Ave Ste 903Orange Park, FL 32073-4410 · (904) 644-8353 · Fax (904) 644-8289
Phone(904) 644-8353
Fax(904) 644-8289
Organization SubpartNo
Authorized OfficialMaryann KennesonPresident · (859) 421-3759
Enumeration DateSeptember 7, 2012
Last NPPES UpdateMarch 2, 2018
✔ NPI 1285983098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME92864
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1895 KINGSLEY AVE STE 903, Orange Park, FL 32073
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY KEEN GAVELEK FNP-C
Nurse Practitioner (Family)
1895 KINGSLEY AVE STE 903
ORANGE PARK, FL 32073
Clay County (904) 644-8353
MRS. MARYANN KENNESON M.D.
Urology
1895 KINGSLEY AVE STE 903
ORANGE PARK, FL 32073
Clay County (904) 644-8353
JACKSONVILLE MS AND NEUROLOGY CENTER, P.A.
Psychiatry & Neurology (Neurology)
1895 KINGSLEY AVE STE 903
ORANGE PARK, FL 32073
Clay County (904) 276-1663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ann Kenneson, M.D., LLC's NPI number?

The NPI number for Mary Ann Kenneson, M.D., LLC is 1285983098. It was assigned to this organization in the NPPES registry on September 7, 2012.

Where is Mary Ann Kenneson, M.D., LLC located?

Mary Ann Kenneson, M.D., LLC is located at 1895 Kingsley Ave Ste 903, Orange Park, FL 32073. The listed phone number is (904) 644-8353.

What is Mary Ann Kenneson, M.D., LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Ann Kenneson, M.D., LLC was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.