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Mrs. Maryann Kenneson, MD
Urology Physician in Orange Park, Florida
NPI 1790011062

Maryann Kenneson is a Urology Physician based in Jacksonville, FL. Maryann Kenneson practices in Orange Park, FL and has the professional credentials of MD. The NPI Number for Maryann Kenneson is 1790011062 and holds a License No. 35098042 (Florida).

The current practice location address for Maryann Kenneson is 1895 Kingsley Ave Ste 903, Orange Park, FL and can be reached out via phone at 904-644-8353 and via fax at 904-644-8289.

Location: 1895 Kingsley Ave Ste 903, Orange Park, FL, 32223-6612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790011062
Provider Name
Maryann Kenneson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1895 Kingsley Ave Ste 903, Orange Park, FL, 32223-6612
Phone Number
904-644-8353
Fax Number
904-644-8289
Provider Enumeration Date
10/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0056336 05 OH
14N6L 01 FL BCBS
006734700 05 FL
institution
Provider Business Practice Location Address Details
Address
1895 Kingsley Ave Ste 903
City
Orange Park
State
Florida
Zip
32073-4410
Phone Number
904-644-8353
Fax Number
904-644-8289
person
Provider Business Mailing Address Details
Address
1895 Kingsley Ave Ste 903
City
Orange Park
State
Florida
Zip
32073-4410
Phone Number
904-644-8353
Fax Number
904-644-8289
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
35098042 (Ohio)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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