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 is a Specialist 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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