MEDICARE: LATONYA M MCKENZIE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	347C00000X	Private Vehicle
2	376J00000X	Homemaker
3	374U00000X	Home Health Aide
4	251E00000X	Home Health Agency
5	251G00000X	Community Based Hospice Care Agency
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1831080217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATONYA M MCKENZIE

Provider Business Mailing Address
First Line	:	2551 SILVER OAK DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-7737
Country	:	US
Telephone Number	:	832-207-3699
Fax Number	:

Provider Business Practice Location Address
First Line	:	2551 SILVER OAK DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-7737
Country	:	US
Telephone Number	:	832-207-3699
Fax Number	:

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

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

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Directions to “ LATONYA M MCKENZIE ” Practice Location

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