OrganizationActive
Kenneth MD PLC
NPI 1831603596 · Internal Medicine Physician · East China, MI
Provider details
- NPI number
- 1831603596
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynn Justusson, Vp(248) 743-0396
- License
- 4301100071 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
4100 River Rd
East China, MI 48054-2909
Phone: (810) 329-7111
Street-level locationGet directions
Mailing address
6383 Glyndebourne Dr
Troy, MI 48098-2214
Registry dates
- Enumerated
- 2017-11-16
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.