Individual
DR. KEVIN M MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 NATIONAL HWY, LAVALE, MD 21502-7326
(301) 729-0034
(301) 729-0034
Mailing address
928 NATIONAL HWY, LAVALE, MD 21502-7326
(301) 729-0034
(301) 729-0034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1552PT
MD
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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