Mackenzie Dermatology

LBN: Keith A Mackenzie Do Pc
Mackenzie Dermatology is an health care organization with primary practice located at 3190 Clearwater Dr , Prescott AZ 86305-7131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Keith A Mackenzie Do Pc can be contacted via phone (928) 541-1312, or through Quinn, Jamie via phone (928) 541-1312.

Contact Information

Primary practice address
3190 Clearwater Dr Prescott AZ 86305-7131
Phone: (928) 541-1312
Fax: (928) 541-0002
Website:
Map and Directions
Authorized official contact:
Name: Quinn, Jamie
Phone: (928) 541-1312

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 3225 Arizona

Profile Details

NPI number 1396971958
LBN Legal business name Keith A Mackenzie Do Pc
DBA Doing business as Mackenzie Dermatology
Authorized official Quinn, Jamie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2009
Last updated Oct 18th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396971958 NPPES
Arizona MEDICAID 390766

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