MACKENZIE SHEA KIMBALL DO, MS
NPI 1245932268
Student in an Organized Health Care Education/Training Program in Poughkeepsie, NY

Active since March 21, 2023
45 READE PL, POUGHKEEPSIE, NY 12601(845) 454-8500 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Mackenzie Shea Kimball Do, Ms NPPES

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

MACKENZIE SHEA KIMBALL DO, MS (NPI 1245932268) is an individual student in an organized health care education/training program in Poughkeepsie, New York and active in the NPI registry since March 2023. She maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1245932268
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE SHEA KIMBALLCredential: DO, MS
Location Address45 READE PLPoughkeepsie, NY 12601-3947
Mailing Address45 Reade PlPoughkeepsie, NY 12601-3947 · (845) 454-8500
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1245932268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
45 READE PL, Poughkeepsie, NY 12601

Secondary Practice Location 1

Location 130 Prospect AveHackensack, NJ 07601-1915 · Phone (551) 996-2000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601

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 Mackenzie Kimball's NPI number?

The NPI number for Mackenzie Kimball is 1245932268. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Mackenzie Kimball located?

Mackenzie Kimball practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (845) 454-8500.

What is Mackenzie Kimball's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Kimball was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.