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General NPI Number Information
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NPI Number | 1972184489
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Entity Type | Individual
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Provider Name | RONALD HARRISON MCKENZIE MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 221 E 29TH ST STE 202
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City | LOVELAND
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State | CO
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Zip | 80538-2746
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Country | US
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Telephone | 970-624-5170
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Fax | 970-669-7521
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Provider Business Mailing Address
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Address Line | 270 COPPERFIELD BLVD NE STE 202
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City | CONCORD
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State | NC
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Zip | 28025-2441
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Country | US
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Telephone | 704-721-2060
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Fax | 704-403-0470
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 303129
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License Number State | NC
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