KENNETH MD PLC – Internal Medicine Physician, NPI 1831603596

KENNETH MD PLC is a healthcare provider. based in Troy, Michigan. specializing in Internal Medicine Physician. The organization holds a License No. 4301100071 (MI). The NPI Number for KENNETH MD PLC is 1831603596

Main info

Organization
Name
KENNETH MD PLC
NPI
1831603596
Phone
(586) 960-5358
Address
6383 GLYNDEBOURNE DR
Authorized Official
LYNN JUSTUSSON VP
Enumeration Date
16 November 2017
Last Update Date
27 December 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH MD PLC

  • 6383, Glyndebourne Drive, Troy, Oakland County, Michigan, 48098, United States

    TROY, MI 480982214

    Phone: (586) 960-5358

    Type: Mailing

  • Ascension River District Hospital, 4100, River Road, Hawthorne, SaintClair, East China Township, Saint Clair County, Michigan, 48054, United States

    EAST CHINA, MI 480542909

    Phone: (810) 329-7111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48098)

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Reviews

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Frequently asked questions

Does KENNETH MD PLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KENNETH MD PLC uses 1831603596.
Is KENNETH MD PLC still practicing?
KENNETH MD PLC is currently listed as active in the public NPI registry.
What is KENNETH MD PLC's primary classification?
Internal Medicine Physician is the headline specialty for KENNETH MD PLC here. Clinical services aligned with this taxonomy classification.
Where should I expect KENNETH MD PLC on a map?
Expect Troy, Michigan as a primary anchor for KENNETH MD PLC unless the record lists multiple sites.
Is the information about KENNETH MD PLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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