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

Mackinzie Kane, PA

Individual provider Surgical Physician Assistant · NPI 1104776079

Mackinzie Kane, PA is a Physician Assistant in Knoxville, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2025, 1 year ago. Licensed in Tennessee.

Years since qualifying
1
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2026
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1600 Accelerator Way Ste 200
Knoxville, TN 37920-3078
Phone: (865) 546-2663
Fax: (865) 546-9047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TN)
Surgical Physician Assistant Taxonomy 363AS0400X (TN)

Record details

NPI number1104776079
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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