Provider Demographics
NPI:1801203955
Name:NEAL, MACKENZIE A (PA-C)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:A
Last Name:NEAL
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:9895 W REMINGTON PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-6734
Mailing Address - Country:US
Mailing Address - Phone:303-948-2676
Mailing Address - Fax:303-904-9151
Practice Address - Street 1:9895 W REMINGTON PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-6734
Practice Address - Country:US
Practice Address - Phone:303-948-2676
Practice Address - Fax:303-904-9151
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2024-10-23
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Provider Licenses
StateLicense IDTaxonomies
CO0006909363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant