IndividualActive
Amanda Mckenzie, PA-C
NPI 1629506092 · Medical Physician Assistant · Fairfield, CT
Provider details
- NPI number
- 1629506092
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
75 Kings Highway Cutoff
Fairfield, CT 06824-5340
Phone: (203) 333-1133
Approximate (ZIP-level) locationGet directions
Mailing address
65 Glen St
Berlin, CT 06037-2022
Registry dates
- Enumerated
- 2017-05-30
- Last updated
- 2019-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.