Kevin Michael McKenzie, LAT, LPTA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J3-0000118 Issued in DE

Practice address

2813 W 17TH St
Wilmington, DE 19806-1112

Phone

(302) 722-0406

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1275678732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 WOODLAWN AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062445",
            "telephone_number": "302-575-0550",
            "fax_number": "302-657-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 W 17TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061112",
            "telephone_number": "302-722-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LAT, LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "J3-0000118",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "DE",
            "license": "J2-0000138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah McKeeman, NP
• James S. McKelvey, D.M.D.
• Amanda Leigh McKenna, MD
• Cassandra Hope McKenna, PA-C
• Christopher McKenney
• Ann McKeown, P.A.
• Giovanna Severoni McKeown, RN, BSN
• Trevor McKibbin, DPT
• Karen E McKillip
• Heather McKinney, FNP-C

• Specialist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.