Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Keith a Mackenzie DO PC

Organization Procedural Dermatology Physician · NPI 1396971958

Keith a Mackenzie DO PC provides Procedural Dermatology Physician services in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3190 Clearwater Dr
Prescott, AZ 86305-7131
Phone: (928) 541-1312
Fax: (928) 541-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 3225 (AZ)

Record details

NPI number1396971958
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamie Quinn — Credentialing/Billing Supervisor · (928) 541-1312
Other names Mackenzie Dermatology
NPI enumeratedJune 9, 2009
Last updated in NPPESOctober 18, 2017
Mailing address3190 Clearwater Dr, Prescott, AZ 86305-7131

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