MARY ANN KENNESON, M.D., LLC
Medical Practice at Kingsley Ave, Orange Park, FL

License number
Florida ME92864
Category
Medical Practice
Type
Specialist
Owner
Name: DR. MARY ANN KENNESON M.D.
Title: CEO
Phone: (859) 421-3759
Address
Address
1895 Kingsley Ave SUITE 801, Orange Park, FL 32073
National Provider ID: 1285983098
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Mary Ann Kenneson, M.D., LLC

Orange Park, FL  -  Jacksonville, FL

Industry:
Nonclassifiable Establishments
Registration:
Jul 18, 2012
Addresses:
1895 Kingsley Ave, Orange Park, FL 32073
9270 Heckscher Dr, Jacksonville, FL 32226
State ID:
L12000093387
Business type:
Florida Limited Liability
Managing Member:
Mary Ann Kenneson (Managing Member)

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