Provider Demographics
NPI:1366643975
Name:MCKENZIE, KATHRYN JOYCE (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:JOYCE
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:ND, LAC
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Mailing Address - Street 1:10300 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 190
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-8600
Mailing Address - Country:US
Mailing Address - Phone:469-500-9828
Mailing Address - Fax:
Practice Address - Street 1:10300 N CENTRAL EXPY
Practice Address - Street 2:SUITE 190
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8600
Practice Address - Country:US
Practice Address - Phone:469-500-9828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC-10077171100000X
CAND129175F00000X
TXAC01364171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath