Individual
MCKENZIE PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3765 E BLUE LUPINE DR, WASILLA, AK 99654-8417
(907) 707-1671
Mailing address
3765 E BLUE LUPINE DR STE D, WASILLA, AK 99654-8417
(907) 707-1671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
245355
AK
Other
Enumeration date
07/16/2025
Last updated
09/29/2025
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