MR. KEVIN MICHAEL MCKENZIE (NPI# 1275678732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275678732 |
| Entity Type | Individual |
| Full Name | MR. KEVIN MICHAEL MCKENZIE |
| Credential | LAT, LPTA |
| Practice Address |
2813 W 17th St Wilmington DE 19806-1112 |
| Mailing Address |
1319 Woodlawn Ave Wilmington DE 19806-2445 |
| Practice Telephone | 3027220406 |
| Mailing Telephone | 3025750550 |
| Mailing Fax Number | 3026578373 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 174400000X | Specialist | J3-0000118 | DE | Other Service Providers |
| X | 246Z00000X | Specialist/Technologist, Other | J2-0000138 | DE | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336212737 | Kevin M Mckenzie | Chiropractor | 928 National Hwy, Lavale, MD 21502-7326 | 2006-11-16 |
| 1962793497 | Kevin P Mckenzie | Student in an Organized Health Care Education/Training Program | University of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 38163-0001 | 2011-05-02 |
| 1891010823 | Kevin R Mckenzie | Behavioral Analyst | 1717 W 33rd St, Edmond, OK 73013-3819 | 2010-04-01 |
| 1295701696 | Kevin James Mckenzie | Counselor | 8021 Chicago St, Kevin J. Mckenzie, LLC, Omaha, NE 68114-3533 | 2006-02-24 |
| Street Address |
2813 W 17TH ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938993 | Megan Patricia O'neill | Specialist/Technologist | 2813 W 17th St, Wilmington, DE 19806-1198 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278899 | Gokulawathani Maheswaran | Physical Therapist | Regency Healthcare and Rehabilitation Center, 801, North Broom Street, Wilmington, DE 19806 | 2017-07-18 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1598992448 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 Delaware Avenue, Wilmington, DE 19806 | 2009-06-18 |
| 1144474750 | Delaware Chiropractic At Trolley Square | Chiropractor | 26b Trolley Square, Wilmington, DE 19806 | 2008-11-10 |
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1548444755 | Ellen Louise Gay | Psychologist | 1311 N. Rodney St., Wilmington, DE 19806 | 2007-12-24 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1194922609 | Kymberly M Alvarado | Social Worker | 1213 Deleware Ave, Wilmington, DE 19806 | 2007-06-28 |
| 1083836605 | Counseling Services Inc | Community/Behavioral Health | 18 C Trolley Square, Wilmington, DE 19806 | 2007-05-03 |
| Find all providers in zip 19806 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396703 | Jermaine Cannon | Specialist | 1 Murphy Rd, Wilmington, DE 19803-3044 | 2020-08-13 |
| 1467986778 | Sharrie Hanley | Specialist | 4701 Wrightsville Ave Bldg 1e2, Wilmington, NC 28403-6912 | 2017-04-13 |
| 1952843948 | Beyond Basics Salons Inc | Specialist | 1124 Floral Pkwy, Wilmington, NC 28403-6212 | 2016-11-08 |
| 1225586324 | Yay Ot 4 Kids, LLC | Specialist | 305 N 15th St, Wilmington, NC 28401-3813 | 2016-09-17 |
| 1053869511 | Kay Eileen Shoemaker | Specialist | 107 Florence Ave, Wilmington, DE 19803-2337 | 2016-09-13 |
| 1487000758 | Vamano Inc | Specialist | 5231 W Woodmill Dr, Suite 45, Wilmington, DE 19808-4068 | 2016-05-05 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1548646490 | Delvalley Healthcare LLC | Specialist | 2055 Limestone Rd Ste 201, Wilmington, DE 19808-5536 | 2015-08-03 |
| 1194123117 | Bharat Shah | Specialist | 166 Landis Way N, Wilmington, DE 19803-6408 | 2014-12-08 |
| 1477955748 | Amberly Tokoly | Specialist | 1717 Shipyard Blvd Ste 320, Wilmington, NC 28403-8019 | 2014-09-18 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
Please comment or provide details below to improve the information on MR. KEVIN MICHAEL MCKENZIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.