Individual
ERNEST J MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N. 30TH ST, CLINTON, OK 73601-3831
(405) 632-2323
(405) 631-9315
Mailing address
PO BOX 96846, OKLAHOMA CITY, OK 73143-5818
(405) 632-2323
(405) 631-9315
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19406
OK
2085R0202X
Diagnostic Radiology Physician
FM5050656
PA
2085R0202X
Diagnostic Radiology Physician
MD486293
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126770A
—
OK
Enumeration date
05/05/2006
Last updated
03/31/2025
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