Mackenzie, G Keith

Mackenzie, G Keith is an sole proprietor health care provider with primary practice located at 715 S Cowley St Suite 228, Spokane WA 99202-1375. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Mackenzie, G Keith can be contacted via phone (509) 624-9217.

Contact Information

Primary practice address
715 S Cowley St Suite 228 Spokane WA 99202-1375
Phone: (509) 624-9217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 15774 Washington

Profile Details

NPI number 1790761286
LBN Legal business name Mackenzie, G Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Jun 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790761286 NPPES
Washington MEDICAID 1508100

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