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Individual
ALLAN DEE MCKENZIE
Active
Individual
ALLAN DEE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4388
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06080012300
QUALCHOICE
AR
05
—
162394001
—
AR
01
—
2674768
UNITED HEALTHCARE
AR
01
—
7203815
AETNA
AR
01
—
764178
HEALTHLINK
AR
Enumeration date
07/13/2006
Last updated
05/10/2017
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