Provider Demographics
NPI:1396931838
Name:SAVIDGE, MCKENZIE SHAY (DO)
Entity type:Individual
Prefix:DR
First Name:MCKENZIE
Middle Name:SHAY
Last Name:SAVIDGE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-2953
Mailing Address - Country:US
Mailing Address - Phone:207-594-6763
Mailing Address - Fax:207-594-6741
Practice Address - Street 1:6 GLEN COVE DR
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4240
Practice Address - Country:US
Practice Address - Phone:207-596-8215
Practice Address - Fax:207-593-5287
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME2099207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine