MARYANN KENNESON M.D. – NPI #1790011062
Urology
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.
MARYANN KENNESON is an urologist located in ORANGE PARK, FL. NPPES has assigned the NPI number 1790011062 to MARYANN KENNESON on October 21, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.
The NPI profile was previously updated about 8 years ago on Feb 13, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYANN KENNESON below.
NPI Profile for
MARYANN KENNESON
(more than 16 years ago)
ORANGE PARK, FL 32073-4410 Phone: (904) 644-8353 Fax: (904) 644-8289
JACKSONVILLE, FL 32223-6612 Phone: (904) 260-3022 Fax: (904) 260-3947
Identifiers for MARYANN KENNESON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS | FL | 14N6L |
| MEDICAID | FL | 006734700 | |
| MEDICAID | OH | 0056336 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208800000X - Urology (Primary) |
OH | 35098042 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
MARYANN KENNESON is affiliated with the following medical group(s):
- HOSPITAL
- ASCENSION ST VINCENT'S CLAY COUNTY1670 ST VINCENTS WAY
MIDDLEBURG, FL 32068 - ASCENSION ST VINCENT'S RIVERSIDE1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204 - BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE800 PRUDENTIAL DR
JACKSONVILLE, FL 32207 - HCA FLORIDA ORANGE PARK HOSPITAL2001 KINGSLEY AVE
ORANGE PARK, FL 32073
- ASCENSION ST VINCENT'S CLAY COUNTY1670 ST VINCENTS WAY
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