Individual provider · Type 1 NPI

Amanda McKenzie, PA-C

Medical Physician Assistant · Fairfield, CT

NPI number 1629506092 Active

Practice location

75 Kings Highway Cutoff
Fairfield, CT 06824-5340

Mailing address

65 Glen St
Berlin, CT 06037-2022

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X3870 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1629506092

Amanda McKenzie, PA-C's National Provider Identifier is 1629506092, issued on May 30, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fairfield, CT. The record was last updated on Oct 2, 2019.