| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATHERINE MERCELIA MACKENZIE | 1194963959 | 2023-11-10 |
Katherine Mercelia Mackenzie is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194963959. Registration indicates Katherine Mercelia Mackenzie is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Psychiatry & Neurology: Neurology with Special Qualifications in Child Neurology, ) (Specialist Network, ) (Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Katherine Mercelia Mackenzie MD |
| Practice Office Address | 725 WELCH RD PALO ALTO, CA US |
| Practice Office Telephone | 6504978000 |
| Mailing Address | 725 WELCH RD PALO ALTO, CA 943041601 US |
| Business Telephone | 6504978000 |
| Code | Practice | License No State |
|---|---|---|
| 2084N0402X PRIMARY | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Neurology with Special Qualifications in Child Neurology Specialist Network Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology | A104126
CA |