Individual provider · Type 1 NPI

Mackenzie Shea Kimball, DO, MS

Student in an Organized Health Care Education/Training Program · Poughkeepsie, NY

NPI number 1245932268 Active

Practice location

45 Reade Pl
Poughkeepsie, NY 12601-3947

Call (845) 454-8500 Map

Other practice locations

  • 30 Prospect Ave, Hackensack, NJ 07601-1915 · (551) 996-2000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245932268

Mackenzie Shea Kimball, DO, MS's National Provider Identifier is 1245932268, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Apr 24, 2026.