Provider Demographics
NPI:1962754440
Name:MCKENZIE, KAYLA J (PA-C)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:J
Last Name:MCKENZIE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:102 BELLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27282-9446
Mailing Address - Country:US
Mailing Address - Phone:717-329-0363
Mailing Address - Fax:
Practice Address - Street 1:1915 LENDEW ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7033
Practice Address - Country:US
Practice Address - Phone:336-275-3325
Practice Address - Fax:336-275-5346
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2013-02-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant