Organization · Type 2 NPI

Mary Ann Kenneson, M.d., LLC

Specialist · Orange Park, FL

NPI number 1285983098 Active

Practice location

1895 Kingsley Ave Ste 903
Orange Park, FL 32073-4410

Call (904) 644-8353 Map

Fax (904) 644-8289

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME92864 (FL)

Specialist: 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.

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About NPI 1285983098

Mary Ann Kenneson, M.d., LLC's National Provider Identifier is 1285983098, issued on Sep 7, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orange Park, FL. The record was last updated on Mar 2, 2018.