Kenneth MD PLC
NPI 1831603596ActiveOrganization· Internal Medicine· East China, MI
Internal Medicine in East China, Michigan, registered in NPPES in November 2017. The authorized official on file is Lynn Justusson, Vp.
Overview
| NPI | 1831603596 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2017 |
| Last updated in NPPES | Dec 27, 2019 |
| Certified by provider | Dec 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 4301100071 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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