Individual
MATTHEW J MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 LIVE STRONGER ST, TEA, SD 57064-8331
(605) 331-5890
Mailing address
2120 LIVE STRONGER ST, TEA, SD 57064-8331
(605) 331-5890
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35462
MN
207X00000X
Orthopaedic Surgery Physician
Primary
5001
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200023496
RAILROAD MEDICARE
SD
05
—
7301470
—
SD
Enumeration date
07/31/2006
Last updated
04/22/2026
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