KENNETH MD PLC
NPI 1831603596
Internal Medicine in East China, MI

Q: What is Kenneth MD Plc's NPI number?

The NPI number for Kenneth MD Plc is 1831603596. It was assigned to this organization in the NPPES registry on November 16, 2017.

Q: What is Kenneth MD Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth MD Plc was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 16, 2017

4100 RIVER RD, EAST CHINA, MI 48054(810) 329-7111 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2019, Nov 16, 2017 (2 updates tracked since 2017).

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About Kenneth Md Plc NPPES

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

KENNETH MD PLC (NPI 1831603596) is a healthcare organization registered as an internal medicine in East China, Michigan and active in the NPI registry since November 2017. The organization lists Lynn Justusson, Vp, as its authorized official.

NPPES Registry Identity

NPI1831603596

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameKENNETH MD PLC

Location Address4100 RIVER RDEast China, MI 48054-2909

Mailing Address6383 Glyndebourne DrTroy, MI 48098-2214 · (586) 960-5358

Phone(810) 329-7111

Organization SubpartNo

Authorized OfficialLynn JustussonVp · (248) 743-0396

Enumeration DateNovember 16, 2017

Last NPPES UpdateDecember 27, 20192 updates tracked since enumeration

✔ NPI 1831603596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4301100071

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4100 RIVER RD, East China, MI 48054

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Other Identifiers 1

Other4301100071MI · State License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 16

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

MRS. SHANNON SHOWERS PT

Physical Therapist

4100 RIVER RD
EAST CHINA, MI 48054

St. Clair County (586) 329-5329

BARBARA MARY TIPTON MHS, PT

Physical Therapist

4100 RIVER RD
EAST CHINA, MI 48054

St. Clair County (810) 329-5386

MICHELE BARTLETT

Physical Therapy Assistant

4100 RIVER RD
EAST CHINA, MI 48054

St. Clair County (810) 329-5385

JUDY LYNN RADYKO

Physical Therapy Assistant

4100 RIVER RD
EAST CHINA, MI 48054

St. Clair County (810) 329-5385

HENRY FORD HEALTH RIVER DISTRICT HOSPITAL

Nurse Anesthetist, Certified Registered

4100 RIVER RD
EAST CHINA, MI 48054

St. Clair County (810) 326-2024

RIVER DISTRICT EMERGENCY PHYSICIANS, P. C.

Emergency Medicine

4100 RIVER RD, EMERGENCY DEPARTMENT
EAST CHINA, MI 48054

St. Clair County (810) 329-7111

MRS. LINDI GORINAC DENNY PT

Physical Therapist

4100 RIVER RD
EAST CHINA, MI 48054

St. Clair County (810) 329-5386

DOLORES GROSSO

Occupational Therapist

4100 RIVER RD
EAST CHINA, MI 48054

St. Clair County (810) 329-5385

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 Kenneth MD Plc's NPI number?

The NPI number for Kenneth MD Plc is 1831603596. It was assigned to this organization in the NPPES registry on November 16, 2017.

Where is Kenneth MD Plc located?

Kenneth MD Plc is located at 4100 River Rd, East China, MI 48054. The listed phone number is (810) 329-7111.

What is Kenneth MD Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Kenneth MD Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kenneth MD Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth MD Plc was last updated on December 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.