The Family Doctor
LBN: Keith C Mckenzie Md Pllc
The Family Doctor is an health care organization with primary practice located at 15501 Metropolitan Pkwy Suite 110, Clinton Twp MI 48036-1684. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Keith C Mckenzie Md Pllc can be contacted via phone (586) 286-9720, or through Williams, Tina via phone (586) 286-9720.
Contact Information
Primary practice address
15501 Metropolitan Pkwy Suite 110
Clinton Twp MI 48036-1684
Phone: (586) 286-9720
Fax: (586) 286-3134
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301067883 | Michigan |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601002587 | Michigan |
Profile Details
NPI number | 1801084629 |
---|---|
LBN Legal business name | Keith C Mckenzie Md Pllc |
DBA Doing business as | The Family Doctor |
Authorized official | Williams, Tina |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 5th, 2007 |
Last updated | Dec 21st, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801084629 | NPPES |
Michigan | Other | 0E02201 | BLUE CROSS BLUE SHIELD |
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