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

Kenneth J. Moquin, MD

Individual provider Plastic Surgery Physician · NPI 1124181755

Kenneth J. Moquin, MD is a Plastic and Reconstructive Surgery in Detroit, Michigan. Qualified in 1994, 32 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Henry Ford Health System 2799 West Grand Blvd
Detroit, MI 48202
Phone: (313) 916-2436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4301063210 (MI)

Record details

NPI number1124181755
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressHenry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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