Kenneth Kushner, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME15204 Issued in FL

Practice address

5111 Baymeadows Rd
Suite 8
Jacksonville, FL 32217-4800

Phone

(904) 737-1193

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285677849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11635 THORNAPPLE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 BAYMEADOWS RD",
            "address_2": "SUITE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174800",
            "telephone_number": "904-737-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME15204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Jae Kurpuis, CRNA
• Chandler Gary Kurtz, ATC, LAT
• Kara Kurtz
• Keri Kurtz, BS, MS
• Justin Craig Kusher, D.O.
• Aleksandra Kusic, RPH
• Leonard Joseph Kuskowski Jr., M. D.
• Heather S Kusmirek
• Fred Kusumoto, MD
• Kenneth Kutch, R.PH

• Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.