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

Mackenzie Caroline Koenig

Individual provider Speech-Language Pathologist · NPI 1700770310

Mackenzie Caroline Koenig is a Qualified Speech Language Pathologist in Durham, North Carolina. Qualified in 2024, 2 years ago. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025

Practice location Address checks out

808 Bacon St
Durham, NC 27703-5006
Phone: (919) 560-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30003875 (NC)

Record details

NPI number1700770310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2025
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address808 Bacon St, Durham, NC 27703-5006

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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