MACKEY FAMILY PRACTICE LLC NPI 1578356838

NPI Information

  • NPI: 1578356838
  • Provider Name: MACKEY FAMILY PRACTICE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 08D2329335
  • Address: 4512 KIRKWOOD HWY SUITE 205
    WILMINGTON, DE
    ZIP 19808
  • Phone: (302) 660-7302

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NPI Details

MACKEY FAMILY PRACTICE LLC is a family medicine in Wilmington, DE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MACKEY FAMILY PRACTICE LLC NPI is 1578356838. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4512 KIRKWOOD HWY SUITE 205
WILMINGTON, DE
ZIP 19808
Phone: (302) 660-7302
Fax: (302) 660-7516

The provider's authorized official is Jill E Mackey .
The authorized official title is Owner and has the following contact phone number (302) 660-7302.

The CLIA number assigned to this NPI record is 08D2329335 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2025 and was last updated on 7/1/2025.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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