Mckinzie Eggers De Klerk, MD
Family Medicine in Pawtucket, Rhode Island
1922504604- Practice location
- 39 East Ave, Pawtucket, RI 02860-4003
- Phone
- 401-312-9808
- Fax
- —
- Last updated
- February 19, 2026
Mckinzie Eggers De Klerk is a Family Medicine based in Pawtucket, RI. Mckinzie Eggers De Klerk practices in Pawtucket, RI and has the professional credentials of MD. The NPI Number for Mckinzie Eggers De Klerk is 1922504604 and holds a License No. LP04412 (RI). The current practice location address for Mckinzie Eggers De Klerk is 39 East Ave, Pawtucket, RI 02860-4003 and can be reached out via phone at 401-312-9808.
Provider Profile Details
- NPI Number
- 1922504604
- Provider Name
- Mckinzie Eggers De Klerk
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 39 East Ave, Pawtucket, RI 02860-4003
- Phone Number
- 401-312-9808
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2018
- Last Update Date
- February 19, 2026
- Certification Date
- February 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 East Ave
Pawtucket, RI 02860-4003 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-4003
- Phone Number
- 401-312-9808
Provider Business Mailing Address Details
- Address
- 39 East Ave
Pawtucket, RI 02860-4003 - City
- Pawtucket
- State
- RI
- Zip
- 02860-4003
License Information
- License Number (1)
- LP04412
- License State (1)
- RI
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- MD17959
- License State (2)
- RI
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Pawtucket, RI
View all Family Medicine providers in Pawtucket →- Aaron A Davis, DOFamily Medicine · NPI 1285898817
- Abigail W Dillon, MDFamily Medicine · NPI 1942950787
- Alexis Contreras, MDFamily Medicine · NPI 1366137507
- Alice Y Hwang, MDFamily Medicine · NPI 1508425182
- Alison Block, MDFamily Medicine · NPI 1679863609
- Angelina Palombo, MDFamily Medicine · NPI 1205286143
Frequently Asked Questions
What is the NPI number of Mckinzie Eggers De Klerk, MD?
The NPI number of Mckinzie Eggers De Klerk, MD is 1922504604. It was assigned on April 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Mckinzie Eggers De Klerk, MD?
Mckinzie Eggers De Klerk, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP04412.
Where does Mckinzie Eggers De Klerk, MD practice?
The practice location is 39 East Ave, Pawtucket, RI 02860-4003. The office can be reached at 401-312-9808 (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 1922504604 directly on the NPPES registry website.