Keith A Mackenzie Do PC
Keith A Mackenzie Do PC is a healthcare organization registered as Procedural Dermatology Physician in Prescott, AZ, holding Type 2 (organization) NPI 1396971958 since 2009. The authorized official on file is Jamie Quinn, Credentialing/Billing Supervisor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396971958 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Keith A Mackenzie Do PC |
| Other name | <Unavail> |
| Practice address | 3190 CLEARWATER DR, Prescott, AZ, 86305 |
| Phone | 9285411312 |
| Fax | 9285410002 |
| Enumeration date | 2009-06-09 |
| Last updated in NPPES | 2017-10-18 |
Authorized official
| Name | Jamie Quinn |
|---|---|
| Title | Credentialing/Billing Supervisor |
| Phone | 9285411312 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207NS0135X | Procedural Dermatology Physician | Primary | 3225 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390766 | Medicaid | AZ | — |
Copy-ready billing details
Provider: Keith A Mackenzie Do PC NPI: 1396971958 Taxonomy: 207NS0135X (Procedural Dermatology Physician) Address: 3190 CLEARWATER DR, Prescott, AZ, 86305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861498297 | Keith Mackenzie | Individual | Procedural Dermatology Physician | Prescott, AZ |
| 1285817122 | Kimberly Stover | Individual | Nurse Practitioner | Prescott, AZ |
Verify this record
Cross-check NPI 1396971958 against the authoritative CMS record: view Keith A Mackenzie Do PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Keith A Mackenzie Do PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-10-18.