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

McKenzie Grissom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942051917

McKenzie Grissom, MD is a Student in an Organized Health Care Education/Training Program in Scottsville, Kentucky. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1360 Stovall Rd
Scottsville, KY 42164-8692
Phone: (270) 943-9455
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1942051917
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 21, 2024
Mailing address1360 Stovall Rd, Scottsville, KY 42164-8692