Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A104126 | CA |
N | 2084N0402X | Child Neurologist | A104126 | CA |
NPI | 1194963959 |
---|---|
Provider Name | Dr. Katherine Mackenzie |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2009 |
Last Update Date | 27/11/2017 |