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

Dr. Alicia Nicole Kieninger, MD

Individual provider Surgery Physician · NPI 1073721320

Dr. Alicia Nicole Kieninger, MD is a General Surgery in Clarkston, Michigan. Graduated from Northwestern University Feinberg Medical School in 2001, 25 years ago. Practices with Iha Olma Specialty Services LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Trained at
Northwestern University Feinberg Medical School
Licensed in
MI
In the registry since
2007
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

6770 Dixie Hwy Ste 202
Clarkston, MI 48346
Phone: (248) 338-7171
Fax: (248) 858-3889
Show map & directions

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

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 4301077660 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301077660 (MI)

Record details

NPI number1073721320
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2001 (25 years in practice)
Group practice Iha Olma Specialty Services Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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