Individual
COREY KEITH MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1619 SANTA MONICA BLVD, SANTA MONICA, CA 90404-1807
(310) 329-5855
Mailing address
6202 S PACIFIC COAST HWY, APARTMENT 11, REDONDO BEACH, CA 90277-5928
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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