MACKENZIE MARIE CUNNINGHAM (NPI# 1386110773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386110773 |
| Entity Type | Individual |
| Full Name | MACKENZIE MARIE CUNNINGHAM |
| Credential | DC |
| Practice Address |
188 E Main St Benton WI 53803-9711 |
| Practice Telephone | 6087596152 |
| Mailing Telephone | 6087596152 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5398-12 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235684085 | Mackenzie Cunningham | Speech-Language Pathologist | 18199 Cook Ave, Strongsville, OH 44136-5216 | 2016-08-22 |
| Street Address |
188 E MAIN ST |
| City | BENTON |
| State | WI |
| Zip Code | 53803-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780900555 | Steffanie Kohn | Chiropractor | 188 E Main St, Benton, WI 53803 | 2010-04-19 |
| 1801186606 | Nemitz Family Chiropractic LLC | Chiropractor | 188 E Main St, Benton, WI 53803 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659547016 | Benton School District | Local Education Agency (LEA) | 41 Alma St, Benton, WI 53803-8908 | 2008-05-06 |
| 1144464702 | Milagros Q. Robbins | Licensed Practical Nurse | 243 2nd Ave, Benton, WI 53803-9410 | 2009-04-27 |
| 1477860252 | Donna Faye Kane | Registered Nurse | 534 E Main St, Benton, WI 53803-9738 | 2010-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134264 | Stephanie Suzanne Worth | Physical Therapy Assistant | 135 Meyers Lake Ct, Benton, MO 63736-9201 | 2020-11-05 |
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1386244838 | Dana L Henson | Pharmacist | 3958 Hampton Dr, Benton, AR 72019-7609 | 2020-10-26 |
| 1649879750 | Prime Medical Group Pllc | Dermatology | 5 Medical Park Dr Ste 200, Benton, AR 72015-3732 | 2020-10-20 |
| 1285231043 | Harold Anthony Flood | Nurse Practitioner | 114 E 20th St, Benton, KY 42025-1721 | 2020-10-05 |
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1225645674 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 5842 Highway 30, Benton, TN 37307-4734 | 2020-09-29 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1104439355 | Jason Amyx | Counselor | 78 Caky Dr, Benton, KY 42025-7592 | 2020-08-27 |
| Find all providers in BENTON | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849179 | Tanner Evans | Chiropractor | 110b E 5th St, Benton, KY 42025-1118 | 2020-01-06 |
| 1609301845 | John Dylan Machycek | Chiropractor | 3309 Winchester, Benton, AR 72015-2896 | 2017-04-25 |
| 1437458304 | Jason Scott Ozbourn | Chiropractor | 715 Sheridan Dr, Benton, IL 62812-1047 | 2011-03-17 |
| 1336467315 | Allyson Lynne Kathalynas | Chiropractor | 206 E Church St Ste A, Benton, IL 62812-2239 | 2010-05-14 |
| 1780900555 | Steffanie Kohn | Chiropractor | 188 E Main St, Benton, WI 53803 | 2010-04-19 |
| 1730310285 | Benton Chiropractic, Pllc | Chiropractor | 141 Commerce Blvd, Benton, KY 42025 | 2009-07-31 |
| 1043489578 | Prange Chiropractic Center | Chiropractor | 3098 Us Highway 641 N, Benton, KY 42025-7464 | 2008-02-28 |
| 1215127618 | Tony Joe Barger | Chiropractor | 1900 Military Rd, Suite 1, Benton, AR 72015-2805 | 2007-07-31 |
| 1902005861 | Michael B Travis | Chiropractor | 374 W 5th St, Benton, KY 42025-1102 | 2007-07-12 |
| 1487871000 | Darrellyn Williams | Chiropractor | 707 Sunset, Benton, AR 72015-3538 | 2007-04-18 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.