NPI 1053402362

James Edward McKenzie, DC

Practitioner Chiropractor Moscow, ID

Practice location

Address: 619 S Washington St STE #101, Moscow, ID 83843-3090
Phone: (208) 883-4300
Fax: (208) 883-4311

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA1041 (ID)

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Registry record

NPI: 1053402362
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2006
Record last updated: 6 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.