Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 719 | NE |
NPI | 1003856238 |
---|---|
Provider Name | Dr. David D Mckenzie |
First Address | Omaha, NE 68134-6613 |
Second Address | Omaha, NE 68134-6613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/07/2007 |