| Doctor Name: | JASON D MCKENZIE |
| NPI Number: | 1265709497 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BSN,RN,RD,LD |
| License Number: | 933847 |
| Business Practice Address: | 222 Medical Cir Morehead, KY - 403511179 |
| Business Phone Number: | 6067836211 |
| Business Fax Number: | 6067836711 |
| Mailing Address: | 222 Medical Cir, MOREHEAD |
| State: | KY |
| Postal Code: | 403511179 |
| Phone Number: | 6067836211 |
| Fax Number: | 6067836711 |
| NPI Enumeration Date: | 11/16/2011 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 933847 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |