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

Dr. Mackenzie Justine Kenneson, MD

Individual provider Pediatrics Physician · NPI 1316732027

Dr. Mackenzie Justine Kenneson, MD is a Pediatrics Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
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

275 Michigan St NE Fl 8
Grand Rapids, MI 49503-2531
Phone: (616) 391-8810
Fax: (616) 391-8897
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4351054776 (MI)

Record details

NPI number1316732027
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2025
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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