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: July 19, 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.

Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601
Anesthesiology
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Anesthetist, Certified Registered
45 READE PL, ANESTHESIA DEPARTMENT
POUGHKEEPSIE, NY 12601
Nurse Anesthetist, Certified Registered
45 READE PL, ANESTHESIA DEPARTMENT
POUGHKEEPSIE, NY 12601
Anesthesiology
45 READE PL, ANESTHESIA DEPARTMENT
POUGHKEEPSIE, NY 12601
Anesthesiology
45 READE PL, ANESTHESIA DEPARTMENT
POUGHKEEPSIE, NY 12601
Anesthesiology
45 READE PL, ANESTHESIA DEPARTMENT
POUGHKEEPSIE, NY 12601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245932268, enumerated as an "individual" on March 21, 2023.

The provider is located at 45 READE PL POUGHKEEPSIE, NY 12601 and the phone number is (845) 454-8500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.