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

Mackenzie Gifford

Individual provider Physician Assistant · NPI 1609629559

Mackenzie Gifford is a Physician Assistant in Portsmouth, Ohio. Qualified in 2024, 2 years ago. Practices with Kings Daughters Medical Specialties Inc, a 387-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

1729 Kinneys Ln Ste 102
Portsmouth, OH 45662-3166
Phone: (740) 351-0980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 613 23rd St Ste G30, Ashland, KY 41101-2881 — (606) 327-0036

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609629559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2024
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address74 Shawnee Ln, Lucasville, OH 45648-8526

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kings Daughters Medical Specialties Inc — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Portsmouth