Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENZIE K MANGUN, PA-C
ActiveMCKENZIE K MANGUN, PA-C is a Physician Assistant healthcare provider located in ROANOKE, Illinois. NPI 1851074090 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROANOKE, IL
Registration Details
- NPI Number
- 1851074090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2023 (3.002958223318 yrs)
- Last Updated
- Jan 15, 2026
- License
-
085011710 (IL)
Practice Information
- Address
-
401 N MAIN STROANOKE, IL, 615617585Browse IL providers · Browse ZIP 61561
- Phone
- 3099232661
- Fax
- 3099237628
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROANOKE, IL
| Name | Credential | NPI |
|---|---|---|
| MS. VICTORIA GORFIN | PA-C | 1831953843 |
| MADDALENA FAIRCHILD | — | 1790644383 |
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.