MRS. MCKENZIE MICHELLE KEITH SUDP
NPI 1053034389
Counselor - Addiction (Substance Use Disorder) in Spokane, WA

Q: What is Mckenzie Keith's NPI number?

The NPI number for Mckenzie Keith is 1053034389. It was assigned to this individual provider in the NPPES registry on September 21, 2022. The provider is also known as Mrs. Mckenzie Michelle Sturm Sudp.

Q: What is Mckenzie Keith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Mckenzie Keith was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2022

5712 N LOMA DR, SPOKANE, WA 99205(928) 499-5954 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Sep 21, 2022 (2 updates tracked since 2022).

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About Mrs. Mckenzie Michelle Keith Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MCKENZIE MICHELLE KEITH SUDP (NPI 1053034389) is an individual addiction (substance use disorder) provider in Spokane, Washington, licensed in Washington (CP61413299) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1053034389

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. MCKENZIE MICHELLE KEITHCredential: SUDP

Location Address5712 N LOMA DRSpokane, WA 99205-7269

Mailing Address5712 N Loma DrSpokane, WA 99205-7269 · (928) 499-5954

Phone(928) 499-5954

Sole ProprietorNo

Enumeration DateSeptember 21, 2022

Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration

NPPES CertifiedJuly 7, 2023

✔ NPI 1053034389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CP61413299

5712 N LOMA DR, Spokane, WA 99205

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Other Names 1

Professional Name (2)Mrs. Mckenzie Michelle Sturm Sudp

Other Identifiers 1

OtherCP61413299WA · Doh

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenzie Keith's NPI number?

The NPI number for Mckenzie Keith is 1053034389. It was assigned to this individual provider in the NPPES registry on September 21, 2022. The provider is also known as Mrs. Mckenzie Michelle Sturm Sudp.

Where is Mckenzie Keith located?

Mckenzie Keith practices at 5712 N Loma Dr, Spokane, WA 99205. The listed phone number is (928) 499-5954.

What is Mckenzie Keith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mckenzie Keith was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.