KATELYN ROE MCKENZIE CRNP NPI 1467058529

NPI Information

  • NPI: 1467058529
  • Provider Name: KATELYN ROE MCKENZIE, CRNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1470 TAYLOR RD STE 109
    MONTGOMERY, AL
    ZIP 36117
  • Phone: (334) 530-6361

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NPI Details

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
1163W00000XRegistered Nurse1-169361ALABAMANo
2363LP0200XNurse PractitionerPediatrics1-169361ALABAMAYes

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: 11/21/2025

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