Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ann Kenneson, MD, LLC

Organization Specialist · NPI 1285983098

Mary Ann Kenneson, MD, LLC provides Specialist services in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1895 Kingsley Ave Ste 903
Orange Park, FL 32073-4410
Phone: (904) 644-8353
Fax: (904) 644-8289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME92864 (FL)

Record details

NPI number1285983098
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maryann Kenneson — President · (859) 421-3759
NPI enumeratedSeptember 7, 2012
Last updated in NPPESMarch 2, 2018
Mailing address1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410

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