Individual
DR. CHAD M MCKENZIE
Active
Individual
DR. CHAD M MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0102201282
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007312393
—
VA
01
—
276458
ANTHEM
VA
01
—
51895
OPTIMA
VA
01
—
770003026
MEDICARE RAILROAD
VA
01
—
89065C3
MEDICAID OF N.C.
NC
Enumeration date
07/11/2005
Last updated
01/15/2018
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