Individual
DR. ANDREW JOHN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1605
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00314654
RAILROAD MEDICARE
CO
Enumeration date
09/04/2006
Last updated
09/25/2017
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