OrganizationActive
Mary Ann Kenneson, M.D., LLC
NPI 1285983098 · Specialist · Orange Park, FL
Mary Ann Kenneson, M.D., LLC is a Specialist organization in Orange Park, FL (NPI 1285983098).
Provider details
- NPI number
- 1285983098
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Maryann Kenneson, President(859) 421-3759
- License
- ME92864 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1895 Kingsley Ave Ste 903
Orange Park, FL 32073-4410
Phone: (904) 644-8353
Fax: (904) 644-8289
Street-level locationGet directions
Mailing address
1895 Kingsley Ave Ste 903
Orange Park, FL 32073-4410
Registry dates
- Enumerated
- 2012-09-07
- Last updated
- 2018-03-02
Frequently asked questions
- What is Mary Ann Kenneson, M.D., LLC's NPI number?
- Mary Ann Kenneson, M.D., LLC's National Provider Identifier (NPI) is 1285983098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary Ann Kenneson, M.D., LLC?
- Mary Ann Kenneson, M.D., LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mary Ann Kenneson, M.D., LLC located?
- Mary Ann Kenneson, M.D., LLC's practice location on file with NPPES is 1895 Kingsley Ave Ste 903, Orange Park, FL 32073-4410.
- What is Mary Ann Kenneson, M.D., LLC's phone number?
- The practice phone number listed in the NPPES registry for Mary Ann Kenneson, M.D., LLC is (904) 644-8353.
- Who is the authorized official for Mary Ann Kenneson, M.D., LLC?
- The authorized official listed on Mary Ann Kenneson, M.D., LLC's NPPES record is Maryann Kenneson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary Ann Kenneson, M.D., LLC's NPI active?
- Yes — Mary Ann Kenneson, M.D., LLC's NPI (1285983098) is active in the NPPES registry as of the last update on 2018-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.