Makenzie Wronkovich Keller, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000296 Issued in VA

Practice address

308 Martinsburg Rd
Mount Vernon, OH 43050-4225

Phone

(740) 393-6767

Fax

(937) 428-6274

NPI assigned

Jun 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Makenzie Marie Wronkovich Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Knox County Esc

  • Local Education Agency (LEA)
  • Mount Vernon, OH
  • NPI 1841430295
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1538728290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MARTINSBURG RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430504225",
            "telephone_number": "740-393-6767",
            "fax_number": "937-428-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MARTINSBURG RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430504225",
            "telephone_number": "740-393-6767",
            "fax_number": "937-428-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MAKENZIE",
        "middle_name": "WRONKOVICH",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "WRONKOVICH",
            "middle_name": "MARIE",
            "credential": "MA, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robia L Kaylor, MSW/LISW
• Patrica F Keane, PHD, CNP
• Roman A Keim Sr.
• Carrie L Keller
• Catriona Galloway Keller, PH.D.
• Matthew Kelling, DPT
• Timothy Joseph Kennedy
• Kyle Kershner, PCC-S NCC LICDC-CS
• Crystal M Kidd
• Karrie A Kidd

• Speech-Language Pathologist in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.