MEDICARE: MACKENZIE KEELAN

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	2355S0801X	Speech-Language Assistant	SLPA17056	AZ

General Provider Information

NPI Number	:	1861347221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE KEELAN

Provider Business Mailing Address
First Line	:	2105 W COMSTOCK DR
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-1711
Country	:	US
Telephone Number	:	480-352-6696
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 W RAY RD STE 1-2
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-7284
Country	:	US
Telephone Number	:	480-296-2363
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

Similar Medicare Providers

1871449496 — ALISON MAJORS
Practice Location Address:

501 W RAY RD STE 1-2
CHANDLER, AZ
85225-7284

Practice Phone: 480-296-2363
Practice Fax:

1093782625 — MONICA MONIDIPA BANERJEE MD
Practice Location Address:

501 W RAY RD , SUITE 6
CHANDLER, AZ
85225-7284

Practice Phone: 602-492-3565
Practice Fax: 602-492-3565

1437116688 — JENNIFER L LAMONTAGNE SLP
Practice Location Address:

501 W RAY RD STE 1
CHANDLER, AZ
85225-7284

Practice Phone: 480-296-2363
Practice Fax:

1366595829 — DR. MITAL PATEL DDS
Practice Location Address:

501 W RAY RD , SUITE 10
CHANDLER, AZ
85225-7284

Practice Phone: 480-963-0077
Practice Fax: 480-963-4477

1740610195 — ARIZONA QUALITY CARE PROVIDERS LLC
Practice Location Address:

501 W RAY RD , SUITE 7
CHANDLER, AZ
85225-7284

Practice Phone: 480-264-5003
Practice Fax:

1285030486 — MRS. EBONY GREEN M.S., CCC-SLP
Practice Location Address:

501 W RAY RD STE 1-2
CHANDLER, AZ
85225-7284

Practice Phone: 480-296-2363
Practice Fax: 480-685-9875

Directions to “ MACKENZIE KEELAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.