Active NPIIndividual provider

Dr. Mckensie L Wahl, MD

Family Medicine, Sports Medicine in Sewell, New Jersey

NPI Number1073173381
Practice location
570 Egg Harbor RD Ste C4, Sewell, NJ 08080-2359
Fax
856-270-2786
Last updated
November 3, 2026

Mckensie Lynn Wahl is a Family Medicine, Sports Medicine based in Sewell, NJ. Mckensie Lynn Wahl practices in Sewell, NJ and has the professional credentials of MD. The NPI Number for Mckensie Lynn Wahl is 1073173381 and holds a License No. 25MA11715700 (NJ). The current practice location address for Mckensie Lynn Wahl is 570 Egg Harbor RD Ste C4, Sewell, NJ 08080-2359 and can be reached out via phone at 609-267-9400 and via fax at 856-270-2786.

Provider Profile Details

NPI Number
1073173381
Provider Name
Mckensie Lynn Wahl
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
570 Egg Harbor RD Ste C4, Sewell, NJ 08080-2359
Phone Number
609-267-9400
Fax Number
856-270-2786
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
No
Provider Enumeration Date
June 18, 2019
Last Update Date
November 3, 2026
Certification Date
November 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
570 Egg Harbor RD Ste C4
Sewell, NJ 08080-2359
City
Sewell
Zip
08080-2359
Phone Number
609-267-9400
Fax Number
856-270-2786
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
609-267-9400
Fax Number
856-270-2786

License Information

License Number (1)
25MA11715700
License State (1)
NJ
Taxonomy (1)
Family Medicine, Sports Medicine · 207QS0010X · Primary
License Number (2)
MT218594
License State (2)
PA
Taxonomy (2)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mckensie L Wahl, MD?

The NPI number of Dr. Mckensie L Wahl, MD is 1073173381. It was assigned on June 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Mckensie L Wahl, MD?

Dr. Mckensie L Wahl, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in NJ under license number 25MA11715700.

Where does Dr. Mckensie L Wahl, MD practice?

The practice location is 570 Egg Harbor RD Ste C4, Sewell, NJ 08080-2359. The office can be reached at 609-267-9400 (phone) or 856-270-2786 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073173381 directly on the NPPES registry website.

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