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NPI Code Detail

MEDICARE: MAKENZIE KINCAID KENNEY LSW, MPH

MEDICARE: MAKENZIE KINCAID KENNEY LSW, MPH
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
1104100000XSocial WorkerSW136832PA

General Provider Information

NPI Number : 1902576093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENZIE KINCAID KENNEY LSW, MPH
Provider Business Mailing Address
First Line : 2929 CLERMONT AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15227-2531
Country : US
Telephone Number : 203-747-0655
Fax Number :
Provider Business Practice Location Address
First Line : 2000 E CARSON ST STE 250
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1957
Country : US
Telephone Number : 412-552-3737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2021
Last Update Date : 01/21/2026

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Directions to “ MAKENZIE KINCAID KENNEY LSW, MPH” Practice Location

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