KATELYN ROE MCKENZIE CRNP NPI 1467058529

NPI Information

NPI: 1467058529
Provider Name: KATELYN ROE MCKENZIE, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1470 TAYLOR RD STE 109
MONTGOMERY, AL
ZIP 36117
Phone: (334) 530-6361
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Katelyn Roe Mckenzie, CRNP is a pediatrics nurse practitioner in Montgomery, AL. Katelyn Roe Mckenzie, CRNP NPI is 1467058529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1470 TAYLOR RD STE 109
MONTGOMERY, AL
ZIP 36117-747
Phone: (334) 530-6361

The NPI 1467058529 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/4/2020 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		1-169361	ALABAMA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	1-169361	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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