Individual
ALLAN DEE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4523 WOODLAWN DR, LITTLE ROCK, AR 72205
(501) 663-2363
(501) 663-2362
Mailing address
4523 WOODLAWN DR, LITTLE ROCK, AR 72205-3858
(501) 663-2336
(501) 669-2362
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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