Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith a Mackenzie DO PC

Organization Procedural Dermatology Physician · NPI 1396971958

Keith a Mackenzie DO PC is a Procedural Dermatology Physician 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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