Kevin M McKenzie

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1552PT Issued in MD

Practice address

928 National Hwy
Lavale, MD 21502-7326

Phone

(301) 729-0034

Fax

(301) 729-0034

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

National College of Chiropractic, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kevin McKenzie Chiropractic, PC

  • Chiropractor
  • Lavale, MD
  • NPI 1407028475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336212737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027326",
            "telephone_number": "301-729-0034",
            "fax_number": "301-729-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027326",
            "telephone_number": "301-729-0034",
            "fax_number": "301-729-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1552PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Stephan Mallonee Jr., PHARMD, RPH
• Maryland CVS Pharmacy LLC (CVS Pharmacy # 05728)
• Faye Marie McAllister, LCADC, LPC
• Carrie B McDonald, LCSW-C
• Katherine A. McKenney, CRNP
• Medexpress Urgent Care, PC - Maryland (MedExpress Urgent Care - LaVale)
• Mountainview Wellness Center LLC
• Alexandra Elizabeth Murray, AUD
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
• Michael L. Nasser

• Chiropractor in Lavale, MD
• Providers in Lavale, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.