Provider Demographics
NPI:1043546930
Name:MCKENZIE, SARAH BETH (MD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BETH
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 56680
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-6680
Mailing Address - Country:US
Mailing Address - Phone:501-224-1690
Mailing Address - Fax:501-224-1927
Practice Address - Street 1:11415 EXECUTIVE CENTER DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4489
Practice Address - Country:US
Practice Address - Phone:501-224-5220
Practice Address - Fax:501-228-9828
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2023-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-8273207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARE-8273OtherLICENSE