Mackenzie Lee Keane

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010654 Issued in MI

Practice address

3101 S Gulley Rd Ste F
Dearborn, MI 48124

Phone

(734) 407-2500

Fax

(313) 792-8962

NPI assigned

Nov 30, 2018

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1427528660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S GULLEY RD STE F",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244406",
            "telephone_number": "734-407-2500",
            "fax_number": "313-792-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S GULLEY RD STE F",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "734-407-2500",
            "fax_number": "313-792-8962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Burnet Ave # 4007",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452292833",
            "country_code": "US",
            "telephone_number": "513-636-5721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEANE",
        "first_name": "MACKENZIE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rawan Salim Kazan
• Hasna Kazi, LLMSW
• Amal Kdouh
• Imane Keaik, PHARMD
• Kean Family Pharmacy LLC
• Brittney Kedziorek
• Daniel Keelan, CCC-SLP
• Leah Katherine Keilman
• Keith L Curtis MD PC
• Mandy Kell

• Occupational Therapist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.