Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Marie King, PA-C

Individual provider Physician Assistant · NPI 1689163669

Mackenzie Marie King, PA-C is a Physician Assistant in Shelby Township, Michigan. Qualified in 2020, 6 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

50505 Schoenherr Rd
Shelby Township, MI 48315-3140
Phone: (586) 731-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 — (313) 473-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010430 (MI)

Record details

NPI number1689163669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 6, 2018
Last updated in NPPESAugust 25, 2025
Certification dateAugust 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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