MEDICARE: DR. DONALD KEITH MCKENZIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD9573	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043309214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD KEITH MCKENZIE MD

Provider Business Mailing Address
First Line	:	3301 TAZEWELL PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-2532
Country	:	US
Telephone Number	:	865-689-7064
Fax Number	:	865-687-7967

Provider Business Practice Location Address
First Line	:	3301 TAZEWELL PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37918-2532
Country	:	US
Telephone Number	:	865-689-7064
Fax Number	:	865-687-7967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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