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Individual

DR. JUDITH J MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11803 JEFFERSON AVE, STE 100, NEWPORT NEWS, VA 23606
(757) 594-1870
(757) 594-1841
Mailing address
11803 JEFFERSON AVE, STE 100, NEWPORT NEWS, VA 23606
(757) 594-1870
(757) 594-1841

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101235243
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010015162
VA
Enumeration date
02/17/2006
Last updated
07/08/2007
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