Keith C McKenzie MD PLLC
NPI 1801084629ActiveOrganization· Family Medicine· Clinton Twp, MI
Family Medicine in Clinton Twp, Michigan, registered in NPPES in October 2007. The authorized official on file is Tina Williams, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801084629 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 5, 2007 |
| Last updated in NPPES | Dec 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Family Medicine | 207Q00000X | 4301067883 | MI |
| Physician Assistant, Medical | 363AM0700X | 5601002587 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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