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

Alexander Woodward Kennon, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1053675868

Alexander Woodward Kennon, MD is an Undefined Physician Type (Specify) in Sebring, Florida. Qualified in 2012, 14 years ago. Practices with Lakeside Dermatology LLC, a 4-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

727 US Highway 27 S
Sebring, FL 33870-2169
Phone: (863) 385-7183
Show map & directions

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

Additional practice locations (3)

  • 727 Us Highway 27 S, Sebring, FL 33870-2169 — (863) 385-7183
  • 400 Avenue K Se Ste 3, Winter Haven, FL 33880-4123 — (863) 293-7546
  • 308 Coliseum Dr, Macon, GA 31217-3865 — (478) 742-2180

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence ME136268 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence ME136268 (FL)

Record details

NPI number1053675868
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED PHYSICIAN TYPE (SPECIFY)
Also practisesDERMATOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Lakeside Dermatology Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount