# MR. DONALD HUGH MCKENZIE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003898214
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 01073032A | IN | — |
| 363A00000X | Physician Assistant | 10001943A | IN | — |
| 363A00000X | Physician Assistant | 50-002510 | OH | — |
| 363A00000X | Physician Assistant | PA1134 | KY | Yes |
| 363AM0700X | Medical Physician Assistant | TC-029 | KY | — |

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 03/24/2023
