Provider Demographics
NPI:1457591562
Name:MCKENZIE, KARI ANN (DDS)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:ANN
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:ANN
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:818 18TH ST NW STE 640
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3526
Mailing Address - Country:US
Mailing Address - Phone:202-776-0901
Mailing Address - Fax:202-776-0903
Practice Address - Street 1:818 18TH ST NW STE 640
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3526
Practice Address - Country:US
Practice Address - Phone:202-776-0901
Practice Address - Fax:202-776-0903
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57174122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist