DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CLARK R MCKENZIE, MD

Active

DR. CLARK R MCKENZIE, MD is a Hospice and Palliative Medicine healthcare provider located in SAINT LOUIS, Missouri. NPI 1073506051 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · SAINT LOUIS, MO

Registration Details

NPI Number
1073506051
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2005 (20.937024200134 yrs)
Last Updated
Jan 19, 2016
Licenses
R4P62 (MO)
R4P62 (MO)

Practice Information

Address
450 N NEW BALLAS RD
STE 270 W
SAINT LOUIS, MO, 631952632
Browse MO providers · Browse ZIP 63195
Phone
3149916969
Fax
3149976969
Primary Specialty
Hospice and Palliative Medicine
207RI0011X

Other Hospice and Palliative Medicine Providers in SAINT LOUIS, MO

Name Credential NPI
DR. PHILLIP G. APPRILL M.D. 1235135310
DR. DAVID J DOBMEYER M.D. 1710983630
DR. MICHAEL G GOLDMEIER M.D. 1265439400
DR. DAVID J. SEWALL M.D. 1336149111
PAUL H GIBSON MD 1013909613
DR. ROBERT G KOPITSKY MD 1831182807
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.