Provider Demographics
NPI:1871293878
Name:KERNER, MCKENZIE LYNN (DC)
Entity type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:LYNN
Last Name:KERNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MCKENZIE
Other - Middle Name:LYNN
Other - Last Name:DOWNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14100 PARKWAY COMMONS DR STE 202
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6104
Mailing Address - Country:US
Mailing Address - Phone:405-740-3995
Mailing Address - Fax:405-749-2746
Practice Address - Street 1:14100 PARKWAY COMMONS DR STE 202
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-6104
Practice Address - Country:US
Practice Address - Phone:405-749-2749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor