Individual
DR. COLIN NEIL MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 E RED BRIDGE RD, STE 302, KANSAS CITY, MO 64131-4031
(913) 766-7246
(913) 766-7247
Mailing address
PO BOX 7866, OVERLAND PARK, KS 66207-0866
(913) 766-7246
(913) 766-7247
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
30842
KS
2084P0800X
Psychiatry Physician
Primary
30842
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200367060A
—
KS
05
—
205383318
—
MO
Enumeration date
08/20/2006
Last updated
08/28/2020
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