Provider Demographics
NPI:1336823715
Name:CARTER, MCKENZIE R (PA)
Entity type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:R
Last Name:CARTER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2220 PLAINFIELD PIKE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2031
Mailing Address - Country:US
Mailing Address - Phone:401-585-8500
Mailing Address - Fax:
Practice Address - Street 1:2220 PLAINFIELD PIKE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-2031
Practice Address - Country:US
Practice Address - Phone:401-585-8500
Practice Address - Fax:401-942-2200
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2025-08-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant