Active NPIIndividual providerSole proprietor

Miss Audrey J Mckenzie, ATC

Specialist/Technologist, Athletic Trainer in Portland, Maine

NPI Number1750426052
Practice location
284 Cumberland Ave, Portland High School, Portland, ME 04101-4927
Fax
—
Last updated
July 8, 2007

Audrey J Mckenzie is a Specialist/Technologist, Athletic Trainer based in Portland, ME. Audrey J Mckenzie practices in Portland, ME and has the professional credentials of ATC. The NPI Number for Audrey J Mckenzie is 1750426052 and holds a License No. AT109 (ME). The current practice location address for Audrey J Mckenzie is 284 Cumberland Ave, Portland High School, Portland, ME 04101-4927 and can be reached out via phone at 207-874-8250.

Provider Profile Details

NPI Number
1750426052
Provider Name
Audrey J Mckenzie
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
284 Cumberland Ave, Portland High School, Portland, ME 04101-4927
Phone Number
207-874-8250
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
284 Cumberland Ave
Portland High School
Portland, ME 04101-4927
State
Maine
Zip
04101-4927
Phone Number
207-874-8250
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
246 E Bridge St
#19
Westbrook, ME 04092-4800
City
Westbrook
State
ME
Zip
04092-4800
Phone Number
207-854-9244

License Information

License Number
AT109
License State
ME
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

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 Miss Audrey J Mckenzie, ATC?

The NPI number of Miss Audrey J Mckenzie, ATC is 1750426052. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Miss Audrey J Mckenzie, ATC?

Miss Audrey J Mckenzie, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT109.

Where does Miss Audrey J Mckenzie, ATC practice?

The practice location is 284 Cumberland Ave, Portland High School, Portland, ME 04101-4927. The office can be reached at 207-874-8250 (phone).

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 1750426052 directly on the NPPES registry website.

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