Mary Ann Kenneson, M.d., LLC
NPI #1285983098 in Orange Park, Florida
Provider Information
- NPI Number
- 1285983098
- Entity Type
- Organization
- Organization Name
- Mary Ann Kenneson, M.d., LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 7, 2012
- Last Updated
- Mar 2, 2018
Practice Location
- Address
- 1895 KINGSLEY AVE STE 903
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4410
- Phone
- (904) 644-8353
Authorized Official
- Name
- DR. MARYANN KENNESON, MD
- Title
- PRESIDENT
- Phone
- (859) 421-3759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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