Healthcare Provider Details

I. General information

NPI: 1346159167
Provider Name (Legal Business Name): MCKENZIE RENEE MATHEWS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 BAPTIST HEALTH BLVD
LEXINGTON KY
40509-8739
US

IV. Provider business mailing address

115 DANTZLER DR UNIT B
LEXINGTON KY
40503-1368
US

V. Phone/Fax

Practice location:
  • Phone: 859-422-9600
  • Fax:
Mailing address:
  • Phone: 859-475-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License Number022887
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: