Provider Demographics
NPI:1194506857
Name:FRENCH, MCKENZIE MARIE (DC)
Entity type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:MARIE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MCKENZIE
Other - Middle Name:MARIE
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 N VANDEMARK AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:SD
Mailing Address - Zip Code:57033-2317
Mailing Address - Country:US
Mailing Address - Phone:605-528-3329
Mailing Address - Fax:
Practice Address - Street 1:700 N VANDEMARK AVE STE 106
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:SD
Practice Address - Zip Code:57033-2317
Practice Address - Country:US
Practice Address - Phone:605-528-3329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1470111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor