Individual
DR. BRYAN ANTHONY MCKENZIE
Active
Individual
DR. BRYAN ANTHONY MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101055139
VA
207YX0901X
Otology & Neurotology Physician
Primary
0101055139
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010
CAREFIRST ID#
—
05
—
006501362
—
VA
01
—
0101055139
STATE LICENSE #
VA
Enumeration date
04/20/2006
Last updated
12/21/2018
Update your record
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