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KEITH C MCKENZIE MD PLLC NPI 1801084629


NPI Information

NPI: 1801084629
Provider Name: KEITH C MCKENZIE MD PLLC

Doing Business As: THE FAMILY DOCTOR

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
15501 METROPOLITAN PKWY
SUITE 110
CLINTON TWP, MI
ZIP 48036
Phone: (586) 286-9720
Get Directions

KEITH C MCKENZIE MD PLLC is a family medicine in Clinton Twp, MI. 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. KEITH C MCKENZIE MD PLLC NPI is 1801084629. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Family Doctor.

The provider's business location address is:

15501 METROPOLITAN PKWY
SUITE 110
CLINTON TWP, MI
ZIP 48036-684
Phone: (586) 286-9720
Fax: (586) 286-3134

The provider's authorized official is Tina Williams .
The authorized official title is Office Manager and has the following contact phone number (586) 286-9720.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 12/21/2016.


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 Medicine4301067883MICHIGANNo
2207Q00000XFamily MedicineYes
3363AM0700XPhysician AssistantMedical5601002587MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10P03910MEDICARE PINMICHIGAN
20E02201OTHERMICHIGANBLUE CROSS BLUE SHIELD
30P04100MEDICARE PINMICHIGAN
40P03910MEDICARE PIN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.