Provider Demographics
NPI:1073915344
Name:ELKIN, MCKENZIE ELIZABETH MILLER (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MCKENZIE
Middle Name:ELIZABETH MILLER
Last Name:ELKIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:MCKENZIE
Other - Middle Name:ELIZABETH
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:173 PINECREST DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:NC
Mailing Address - Zip Code:28701-9618
Mailing Address - Country:US
Mailing Address - Phone:828-712-1756
Mailing Address - Fax:
Practice Address - Street 1:100 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-5272
Practice Address - Country:US
Practice Address - Phone:828-681-2146
Practice Address - Fax:828-681-2703
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-05445363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical