Provider Demographics
NPI:1518919448
Name:MCKINNEY, L. MACKENZIE HARRIS (DC)
Entity Type:Individual
Prefix:DR
First Name:L. MACKENZIE
Middle Name:HARRIS
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:L
Other - Middle Name:MACKENZIE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:209 GILBERT FERRY RD SE
Mailing Address - Street 2:
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954-3329
Mailing Address - Country:US
Mailing Address - Phone:256-538-5955
Mailing Address - Fax:
Practice Address - Street 1:209 GILBERT FERRY RD SE
Practice Address - Street 2:
Practice Address - City:ATTALLA
Practice Address - State:AL
Practice Address - Zip Code:35954-3329
Practice Address - Country:US
Practice Address - Phone:256-538-5955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051510181Medicare ID - Type Unspecified
ALU91314Medicare UPIN