Provider Demographics
NPI:1093093213
Name:MCKENZIE, JONI R (CRT, RCP)
Entity Type:Individual
Prefix:MRS
First Name:JONI
Middle Name:R
Last Name:MCKENZIE
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Gender:F
Credentials:CRT, RCP
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Mailing Address - Street 1:343 TECHNOLOGY DRIVE, SUITE 1110
Mailing Address - Street 2:EZ DIAGNOSTICS, INC.
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529
Mailing Address - Country:US
Mailing Address - Phone:919-780-5900
Mailing Address - Fax:919-780-5905
Practice Address - Street 1:343 TECHNOLOGY DRIVE, SUITE 1110
Practice Address - Street 2:EZ DIAGNOSTICS, INC.
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529
Practice Address - Country:US
Practice Address - Phone:919-780-5900
Practice Address - Fax:919-780-5905
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCA 725227800000X
2278P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Diagnostics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC725OtherNORTH CAROLINA RESPIRATORY CARE BOARD