Kevin McKenzie Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1552PT Issued in MD

Legal business name

KEVIN MCKENZIE CHIROPRACTIC, PC

Practice address

928 National Hwy
Lavale, MD 21502-7326

Phone

(301) 729-0034

Fax

(301) 729-0034

NPI assigned

Mar 30, 2008

Last updated

Mar 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M McKenzie, DCNPI 1336212737

Title

Owner

Phone

(301) 729-0034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin M McKenzie

  • Chiropractor
  • Lavale, MD
  • NPI 1336212737
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206835200000",
    "number": "1407028475",
    "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": {
        "organization_name": "KEVIN MCKENZIE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-30",
        "last_updated": "2008-03-30",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-729-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1552PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Hook
• Dora Carew John-Betts, CRNP-FAMILY
• Samantha Judy
• Brooke Ellen Keefner, LPN
• Lori Keister, LPN
• John Kinnie, PHARM.D.
• Chelsea Lynn Lambie, AUD
• Corrine Lorraine Lamm, CRNP
• Lavale Pharmacy Inc
• Amber Lynne Lease-Gordon

• 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 Mar 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.