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

Mrs. Kerry Alicia McKenzie, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1033898838

Mrs. Kerry Alicia McKenzie, NURSEPRACTITIONER is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Licensed in Illinois and Missouri.

Years since qualifying
4
Licensed in
IL, MO
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1 Jefferson Barracks Rd
Saint Louis, MO 63125-4181
Phone: (314) 652-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2023016833 (MO)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209027653 (IL)

Record details

NPI number1033898838
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 17, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Saint Louis