NPI
Kylie Mackenzie
NPI 1003217993
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2014-09-10
- Last updated
- 2021-12-27
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Specialties
Licenses
- License CA
- Number not in the file
Location
- Practice location
- 22471 Aspan St Ste 103
- City
- Lake Forest CA
- Postal code
- 92630-1644
- Phone
- (949) 458-2715
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Mental Health Counselors in Lake Forest, CA. 23 with this primary taxonomy in the public file.
Other NPIs in Lake Forest, CA. 1,423 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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