diff --git a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/aws-cdk-dynamodb-kinesis-stream.assets.json b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/aws-cdk-dynamodb-kinesis-stream.assets.json
index 117bba8c0eebb..22e498389cf83 100644
--- a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/aws-cdk-dynamodb-kinesis-stream.assets.json
+++ b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/aws-cdk-dynamodb-kinesis-stream.assets.json
@@ -1,7 +1,7 @@
 {
-  "version": "36.0.0",
+  "version": "38.0.1",
   "files": {
-    "af9e3e690b2077e983a570a213e0aef3d3036ade5ae3fbb66fff5a3466ed4896": {
+    "671ebc97901116d0268136488a5ac9d7f9e9063f47eaeba1f894063342206593": {
       "source": {
         "path": "aws-cdk-dynamodb-kinesis-stream.template.json",
         "packaging": "file"
@@ -9,7 +9,7 @@
       "destinations": {
         "current_account-current_region": {
           "bucketName": "cdk-hnb659fds-assets-${AWS::AccountId}-${AWS::Region}",
-          "objectKey": "af9e3e690b2077e983a570a213e0aef3d3036ade5ae3fbb66fff5a3466ed4896.json",
+          "objectKey": "671ebc97901116d0268136488a5ac9d7f9e9063f47eaeba1f894063342206593.json",
           "assumeRoleArn": "arn:${AWS::Partition}:iam::${AWS::AccountId}:role/cdk-hnb659fds-file-publishing-role-${AWS::AccountId}-${AWS::Region}"
         }
       }
diff --git a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/aws-cdk-dynamodb-kinesis-stream.template.json b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/aws-cdk-dynamodb-kinesis-stream.template.json
index 8f793a1f32a44..d1110c367ec37 100644
--- a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/aws-cdk-dynamodb-kinesis-stream.template.json
+++ b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/aws-cdk-dynamodb-kinesis-stream.template.json
@@ -37,6 +37,7 @@
      }
     ],
     "KinesisStreamSpecification": {
+     "ApproximateCreationDateTimePrecision": "MILLISECOND",
      "StreamArn": {
       "Fn::GetAtt": [
        "Stream790BDEE4",
diff --git a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/cdk.out b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/cdk.out
index 1f0068d32659a..c6e612584e352 100644
--- a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/cdk.out
+++ b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/cdk.out
@@ -1 +1 @@
-{"version":"36.0.0"}
\ No newline at end of file
+{"version":"38.0.1"}
\ No newline at end of file
diff --git a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/integ.json b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/integ.json
index 9150f34ef20c1..2c01431d8f7a5 100644
--- a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/integ.json
+++ b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/integ.json
@@ -1,5 +1,5 @@
 {
-  "version": "36.0.0",
+  "version": "38.0.1",
   "testCases": {
     "integ.dynamodb.kinesis-stream": {
       "stacks": [
diff --git a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/manifest.json b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/manifest.json
index 7adfbd49ba099..01aa7c58bbdc2 100644
--- a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/manifest.json
+++ b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/manifest.json
@@ -1,5 +1,5 @@
 {
-  "version": "36.0.0",
+  "version": "38.0.1",
   "artifacts": {
     "aws-cdk-dynamodb-kinesis-stream.assets": {
       "type": "cdk:asset-manifest",
@@ -16,9 +16,10 @@
         "templateFile": "aws-cdk-dynamodb-kinesis-stream.template.json",
         "terminationProtection": false,
         "validateOnSynth": false,
+        "notificationArns": [],
         "assumeRoleArn": "arn:${AWS::Partition}:iam::${AWS::AccountId}:role/cdk-hnb659fds-deploy-role-${AWS::AccountId}-${AWS::Region}",
         "cloudFormationExecutionRoleArn": "arn:${AWS::Partition}:iam::${AWS::AccountId}:role/cdk-hnb659fds-cfn-exec-role-${AWS::AccountId}-${AWS::Region}",
-        "stackTemplateAssetObjectUrl": "s3://cdk-hnb659fds-assets-${AWS::AccountId}-${AWS::Region}/af9e3e690b2077e983a570a213e0aef3d3036ade5ae3fbb66fff5a3466ed4896.json",
+        "stackTemplateAssetObjectUrl": "s3://cdk-hnb659fds-assets-${AWS::AccountId}-${AWS::Region}/671ebc97901116d0268136488a5ac9d7f9e9063f47eaeba1f894063342206593.json",
         "requiresBootstrapStackVersion": 6,
         "bootstrapStackVersionSsmParameter": "/cdk-bootstrap/hnb659fds/version",
         "additionalDependencies": [
diff --git a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/tree.json b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/tree.json
index a9b7d99624a87..839f5090d66ba 100644
--- a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/tree.json
+++ b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.js.snapshot/tree.json
@@ -35,22 +35,22 @@
                   }
                 },
                 "constructInfo": {
-                  "fqn": "aws-cdk-lib.aws_kinesis.CfnStream",
-                  "version": "0.0.0"
+                  "fqn": "constructs.Construct",
+                  "version": "10.3.0"
                 }
               }
             },
             "constructInfo": {
-              "fqn": "aws-cdk-lib.aws_kinesis.Stream",
-              "version": "0.0.0"
+              "fqn": "constructs.Construct",
+              "version": "10.3.0"
             }
           },
           "AwsCdkKinesisEncryptedStreamsUnsupportedRegions": {
             "id": "AwsCdkKinesisEncryptedStreamsUnsupportedRegions",
             "path": "aws-cdk-dynamodb-kinesis-stream/AwsCdkKinesisEncryptedStreamsUnsupportedRegions",
             "constructInfo": {
-              "fqn": "aws-cdk-lib.CfnCondition",
-              "version": "0.0.0"
+              "fqn": "constructs.Construct",
+              "version": "10.3.0"
             }
           },
           "Table": {
@@ -81,7 +81,8 @@
                           "Stream790BDEE4",
                           "Arn"
                         ]
-                      }
+                      },
+                      "approximateCreationDateTimePrecision": "MILLISECOND"
                     },
                     "provisionedThroughput": {
                       "readCapacityUnits": 5,
@@ -90,44 +91,44 @@
                   }
                 },
                 "constructInfo": {
-                  "fqn": "aws-cdk-lib.aws_dynamodb.CfnTable",
-                  "version": "0.0.0"
+                  "fqn": "constructs.Construct",
+                  "version": "10.3.0"
                 }
               },
               "ScalingRole": {
                 "id": "ScalingRole",
                 "path": "aws-cdk-dynamodb-kinesis-stream/Table/ScalingRole",
                 "constructInfo": {
-                  "fqn": "aws-cdk-lib.Resource",
-                  "version": "0.0.0"
+                  "fqn": "constructs.Construct",
+                  "version": "10.3.0"
                 }
               }
             },
             "constructInfo": {
-              "fqn": "aws-cdk-lib.aws_dynamodb.Table",
-              "version": "0.0.0"
+              "fqn": "constructs.Construct",
+              "version": "10.3.0"
             }
           },
           "BootstrapVersion": {
             "id": "BootstrapVersion",
             "path": "aws-cdk-dynamodb-kinesis-stream/BootstrapVersion",
             "constructInfo": {
-              "fqn": "aws-cdk-lib.CfnParameter",
-              "version": "0.0.0"
+              "fqn": "constructs.Construct",
+              "version": "10.3.0"
             }
           },
           "CheckBootstrapVersion": {
             "id": "CheckBootstrapVersion",
             "path": "aws-cdk-dynamodb-kinesis-stream/CheckBootstrapVersion",
             "constructInfo": {
-              "fqn": "aws-cdk-lib.CfnRule",
-              "version": "0.0.0"
+              "fqn": "constructs.Construct",
+              "version": "10.3.0"
             }
           }
         },
         "constructInfo": {
-          "fqn": "aws-cdk-lib.Stack",
-          "version": "0.0.0"
+          "fqn": "constructs.Construct",
+          "version": "10.3.0"
         }
       },
       "Tree": {
@@ -140,8 +141,8 @@
       }
     },
     "constructInfo": {
-      "fqn": "aws-cdk-lib.App",
-      "version": "0.0.0"
+      "fqn": "constructs.Construct",
+      "version": "10.3.0"
     }
   }
 }
\ No newline at end of file
diff --git a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.ts b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.ts
index f403d06816211..8fb9cfdd4a94f 100644
--- a/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.ts
+++ b/packages/@aws-cdk-testing/framework-integ/test/aws-dynamodb/test/integ.dynamodb.kinesis-stream.ts
@@ -11,6 +11,7 @@ new dynamodb.Table(stack, 'Table', {
   partitionKey: { name: 'hashKey', type: dynamodb.AttributeType.STRING },
   removalPolicy: cdk.RemovalPolicy.DESTROY,
   kinesisStream: stream,
+  kinesisPrecisionTimestamp: dynamodb.ApproximateCreationDateTimePrecision.MILLISECOND,
 });
 
 app.synth();
diff --git a/packages/aws-cdk-lib/aws-dynamodb/TABLE_V1_API.md b/packages/aws-cdk-lib/aws-dynamodb/TABLE_V1_API.md
index 9d62a170a3676..e316b314d184a 100644
--- a/packages/aws-cdk-lib/aws-dynamodb/TABLE_V1_API.md
+++ b/packages/aws-cdk-lib/aws-dynamodb/TABLE_V1_API.md
@@ -222,6 +222,8 @@ const sortKey = schema.sortKey;
 
 A Kinesis Data Stream can be configured on the DynamoDB table to capture item-level changes.
 
+You can optionally configure the `kinesisPrecisionTimestamp` parameter to specify the precision level of the approximate creation date and time. The allowed values are `MICROSECOND` and `MILLISECOND`. If this parameter is not specified, the default precision is set to `MICROSECOND`.
+
 ```ts
 import * as kinesis from 'aws-cdk-lib/aws-kinesis';
 
diff --git a/packages/aws-cdk-lib/aws-dynamodb/lib/table.ts b/packages/aws-cdk-lib/aws-dynamodb/lib/table.ts
index a020bf33b0011..55ed1082a717a 100644
--- a/packages/aws-cdk-lib/aws-dynamodb/lib/table.ts
+++ b/packages/aws-cdk-lib/aws-dynamodb/lib/table.ts
@@ -208,6 +208,23 @@ export interface ImportSourceSpecification {
   readonly keyPrefix?: string;
 }
 
+/**
+ * The precision associated with the DynamoDB write timestamps that will be replicated to Kinesis.
+ * The default setting for record timestamp precision is microseconds. You can change this setting at any time.
+ * @see https://docs.aws.amazon.com/AWSCloudFormation/latest/UserGuide/aws-properties-dynamodb-table-kinesisstreamspecification.html#aws-properties-dynamodb-table-kinesisstreamspecification-properties
+ */
+export enum ApproximateCreationDateTimePrecision {
+  /**
+   * Millisecond precision
+   */
+  MILLISECOND = 'MILLISECOND',
+
+  /**
+   * Microsecond precision
+   */
+  MICROSECOND = 'MICROSECOND',
+}
+
 /**
  * Properties of a DynamoDB Table
  *
@@ -423,6 +440,13 @@ export interface TableProps extends TableOptions {
    * @default - no Kinesis Data Stream
    */
   readonly kinesisStream?: kinesis.IStream;
+
+  /**
+   * Kinesis Data Stream approximate creation timestamp prescision
+   *
+   * @default ApproximateCreationDateTimePrecision.MICROSECOND
+   */
+  readonly kinesisPrecisionTimestamp?: ApproximateCreationDateTimePrecision;
 }
 
 /**
@@ -1172,6 +1196,13 @@ export class Table extends TableBase {
     }
     this.validateProvisioning(props);
 
+    const kinesisStreamSpecification = props.kinesisStream
+      ? {
+        streamArn: props.kinesisStream.streamArn,
+        ...(props.kinesisPrecisionTimestamp && { approximateCreationDateTimePrecision: props.kinesisPrecisionTimestamp }),
+      }
+      : undefined;
+
     this.table = new CfnTable(this, 'Resource', {
       tableName: this.physicalName,
       keySchema: this.keySchema,
@@ -1196,7 +1227,7 @@ export class Table extends TableBase {
       tableClass: props.tableClass,
       timeToLiveSpecification: props.timeToLiveAttribute ? { attributeName: props.timeToLiveAttribute, enabled: true } : undefined,
       contributorInsightsSpecification: props.contributorInsightsEnabled !== undefined ? { enabled: props.contributorInsightsEnabled } : undefined,
-      kinesisStreamSpecification: props.kinesisStream ? { streamArn: props.kinesisStream.streamArn } : undefined,
+      kinesisStreamSpecification: kinesisStreamSpecification,
       deletionProtectionEnabled: props.deletionProtection,
       importSourceSpecification: this.renderImportSourceSpecification(props.importSource),
       resourcePolicy: props.resourcePolicy
diff --git a/packages/aws-cdk-lib/aws-dynamodb/test/dynamodb.test.ts b/packages/aws-cdk-lib/aws-dynamodb/test/dynamodb.test.ts
index 0a95fea266ea3..d190bbb14f622 100644
--- a/packages/aws-cdk-lib/aws-dynamodb/test/dynamodb.test.ts
+++ b/packages/aws-cdk-lib/aws-dynamodb/test/dynamodb.test.ts
@@ -24,6 +24,7 @@ import {
   CfnTable,
   InputCompressionType,
   InputFormat,
+  ApproximateCreationDateTimePrecision,
 } from '../lib';
 import { ReplicaProvider } from '../lib/replica-provider';
 
@@ -3783,3 +3784,34 @@ test('Warm Throughput test provisioned', () => {
   });
 
 });
+
+test('Kinesis Stream - precision timestamp', () => {
+  // GIVEN
+  const app = new App();
+  const stack = new Stack(app, 'Stack');
+
+  const stream = new kinesis.Stream(stack, 'Stream');
+
+  // WHEN
+  const table = new Table(stack, 'Table', {
+    partitionKey: { name: 'id', type: AttributeType.STRING },
+    kinesisStream: stream,
+    kinesisPrecisionTimestamp: ApproximateCreationDateTimePrecision.MILLISECOND,
+  });
+
+  // THEN
+  Template.fromStack(stack).hasResourceProperties('AWS::DynamoDB::Table', {
+    KeySchema: [
+      { AttributeName: 'id', KeyType: 'HASH' },
+    ],
+    AttributeDefinitions: [
+      { AttributeName: 'id', AttributeType: 'S' },
+    ],
+    KinesisStreamSpecification: {
+      StreamArn: {
+        'Fn::GetAtt': ['Stream790BDEE4', 'Arn'],
+      },
+      ApproximateCreationDateTimePrecision: 'MILLISECOND',
+    },
+  });
+});