Mackenzie Marie Klee

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

030297 Issued in NY

Practice address

4075 W Lake Rd
Geneva, NY 14456-9756

Phone

(315) 789-5040

NPI assigned

Sep 26, 2024

Last updated

Sep 26, 2024By the provider in NPPES

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

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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1659198935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 COUNTY ROAD 6",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145329533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 W LAKE RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144569756",
            "telephone_number": "315-789-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEE",
        "first_name": "MACKENZIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "030297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Rose Kime, LCAT, ATR
• Julie E Kingery, PH.D.
• Lisle Kingery, PHD
• Kathleen Ann Kirker, NP
• Frederick William Klee, DDS
• Nicole Klimt, M.D.
• Wendy Kathleen Kloczkowski - Panetta, OTRL
• Shawn Kurian
• Meredith L Kyle, RPA-C
• Katheryn Anne L'Heureux, LCSW

• Dental Hygienist in Geneva, NY
• Providers in Geneva, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.