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

Dr. Keith Andrew Mackenzie, DO

Individual provider Procedural Dermatology Physician · NPI 1861498297

Dr. Keith Andrew Mackenzie, DO is a Dermatology in Prescott, Arizona. Graduated from Michigan State University College of Osteopathic Medicine in 1991, 35 years ago. Practices with Keith a Mackenzie DO PC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
35
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
AZ
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3190 Clearwater Dr
Prescott, AZ 86305-7131
Phone: (928) 541-1312
Fax: (928) 541-0002
Show map & directions

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 number1861498297
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESApril 25, 2012
Mailing addressPo Box 11208, Prescott, AZ 86304-1208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1991 (35 years in practice)
Group practice Keith A Mackenzie Do Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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