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

Jerry Kenmoe, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760111876

Jerry Kenmoe, MD is a Student in an Organized Health Care Education/Training Program in Flint, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

G3230 Beecher Rd Ste 2
Flint, MI 48532-3604
Phone: (810) 342-5800
Fax: (810) 342-5810
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351049604 (MI)

Record details

NPI number1760111876
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 6, 2022
Mailing addressG3230 Beecher Rd Ste 2, Flint, MI 48532-3604

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