Individual
EDWARD N MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 MUNICIPAL WAY, EDGEWOOD, NM 87015-7210
(505) 873-7400
Mailing address
PO BOX 912678, DENVER, CO 80291-2678
(505) 873-7400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20020343
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J1547
—
NM
Enumeration date
10/03/2006
Last updated
05/14/2025
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