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Dr. Kenneth R Cervone, MD

Orthopaedic Surgery Physician in St Clair Shore, MI · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316937873

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Registry record

Entity type Individual (Type 1)
Name Dr. Kenneth R Cervone
Credential MD
Sex Male
Practice address 24715 Little Mack, Ste 100, St Clair Shore, MI, 48080
Phone (586) 779-7970
Fax (586) 779-7748
Enumeration date Oct 26, 2005
Last updated in NPPES Feb 19, 2014

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 4301058405 (MI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
3250375 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kenneth Cervone practice?
The practice location on file with NPPES is in St Clair Shore, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kenneth Cervone?
The National Provider Identifier (NPI) for Kenneth Cervone is 1316937873, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-19.