Colin N Mackenzie MD LC

Organization Active NPI Psychiatry Physician · Overland Park, KS

NPI 1962646604 · NPPES record last updated Apr 24, 2009

Key facts

NPI
1962646604
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
License
30842 (KS)
Legal business name
COLIN N MACKENZIE MD LC
Practice address
11011 King St
Suite 260
Overland Park, KS 66210-1213
Phone
(913) 642-3134
Fax
(913) 766-6037
NPI assigned
Apr 24, 2009
Organization subpart
No

Authorized official

Name
Dr. Colin Neil Mackenzie, M.D.
Title
Sole Member
Phone
(913) 642-3134

National Provider Directory

Locations

11011 King St
Ste 260
Overland Park, KS 66210
Phone (913) 642-3134

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084P0800X 30842 KS Yes

Addresses

Primary practice location

11011 King St
Suite 260
Overland Park, KS 66210-1213

Mailing address

11011 King St
Suite 260
Overland Park, KS 66210-1213
Phone (913) 642-3134

Other providers in Overland Park, KS

All providers in Overland Park, KS · Psychiatry Physician in Kansas

Sources for this page

Verify at the official NPI Registry.