MR. KERRY LEE MCKENZIE (PA-C) – Physician Assistant, NPI 1619093879

MR. KERRY LEE MCKENZIE (PA-C) is a healthcare provider. based in Rock springs, Wyoming. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 166 (WY). The NPI Number for MR. KERRY LEE MCKENZIE (PA-C) is 1619093879

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
MR. KERRY LEE MCKENZIE (PA-C)
NPI
1619093879
Phone
(307) 352-8199
Address
1208 HILLTOP DR
Enumeration Date
21 March 2007
Last Update Date
24 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072773867
Graduation Year
1978 (48 years ago)
PAC ID
0648168385
Group Practice PAC ID
2567614175
Professional Enrollment ID
I20040305000358
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. KERRY LEE MCKENZIE (PA-C)

  • 1208 HILLTOP DR

    SUITE 100

    ROCK SPRINGS, WY 829015857

    Phone: (307) 352-8199

    Fax: (307) 352-8148

    Type: Mailing

  • 1204 HILLTOP DR

    SUITE 108

    ROCK SPRINGS, WY 829015861

    Phone: (307) 352-8125

    Fax: (307) 352-8126

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567614175View full group profile

Reviews

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Frequently asked questions

Can I verify MR. KERRY LEE MCKENZIE (PA-C) with an NPI only?
You can start verification with NPI 1619093879 for MR. KERRY LEE MCKENZIE (PA-C), then check state licensing separately.
Does the file indicate MR. KERRY LEE MCKENZIE (PA-C) is practicing under active NPI?
Directory data currently reports MR. KERRY LEE MCKENZIE (PA-C) as active.
What healthcare role does MR. KERRY LEE MCKENZIE (PA-C) hold?
Scheduling teams often label MR. KERRY LEE MCKENZIE (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. KERRY LEE MCKENZIE (PA-C) based?
MR. KERRY LEE MCKENZIE (PA-C) is tied to Rock Springs, Wyoming in the data we show; additional addresses may exist on the full record.
Why does MR. KERRY LEE MCKENZIE (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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