Provider Demographics
NPI:1568207058
Name:HYLTON, MACKIENZE (DC)
Entity type:Individual
Prefix:DR
First Name:MACKIENZE
Middle Name:
Last Name:HYLTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 EAST SOUTH STREET 49
Mailing Address - Street 2:HOUSE
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66095
Mailing Address - Country:US
Mailing Address - Phone:785-418-4126
Mailing Address - Fax:
Practice Address - Street 1:301 EAST SOUTH STREET 49
Practice Address - Street 2:HOUSE
Practice Address - City:WILLIAMSBURG
Practice Address - State:KS
Practice Address - Zip Code:66095
Practice Address - Country:US
Practice Address - Phone:785-418-4126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty