Provider Demographics
NPI:1801836648
Name:WILLIAM F MCKENZIE MD INC
Entity Type:Organization
Organization Name:WILLIAM F MCKENZIE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-623-2212
Mailing Address - Street 1:95-119 KAM HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-3393
Mailing Address - Country:US
Mailing Address - Phone:808-623-2212
Mailing Address - Fax:808-625-2917
Practice Address - Street 1:95-119 KAM HWY
Practice Address - Street 2:SUITE A
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3393
Practice Address - Country:US
Practice Address - Phone:808-623-2212
Practice Address - Fax:808-625-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIE04189207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty