National Provider Identifier
Kristin Diane McKenzie, DNP, BSN, PMHNP-BC
Kristin Diane McKenzie, DNP, BSN, PMHNP-BC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Orchard Park, NY and a listed phone number of (716) 903-6036.
Profile Overview
- NPI
- 1053752626
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- July 11, 2013
- Last Updated
- April 02, 2024
Practice Location
- 3055 Southwestern Blvd Ste 110
- Orchard Park, NY 14127-1231
Phone: (716) 903-6036
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1053752626
- Entity Type
- Individual
- Last Name
- McKenzie
- First Name
- Kristin
- Middle Name
- Diane
- Credential
- DNP, BSN, PMHNP-BC
- Mailing Street Address
- 3055 Southwestern Blvd Ste 110
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1231
- Mailing Country
- US
- Mailing Phone
- (716) 903-6036
- Mailing Fax
- (716) 463-2225
- Practice Street Address
- 3055 Southwestern Blvd Ste 110
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1231
- Practice Country
- US
- Practice Phone
- (716) 903-6036
- Practice Fax
- (716) 463-2225
- Enumeration Date
- July 11, 2013
- Last Updated
- April 02, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)