Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH ANDREW MACKENZIE, D.O.
ActiveProcedural Dermatology · PRESCOTT, AZ
Registration Details
- NPI Number
- 1861498297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2005 (20.83498181911 yrs)
- Last Updated
- Apr 25, 2012
- License
-
3225 (AZ)
Practice Information
- Address
-
3190 CLEARWATER DRPRESCOTT, AZ, 863057131Browse AZ providers · Browse ZIP 86305
- Phone
- 9285411312
- Fax
- 9285410002
- Primary Specialty
-
Procedural Dermatology
207NS0135X
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.