Mackenzie, Kathleen

Mackenzie, Kathleen is an individual health care provider with primary practice located at 1007 N Main St , Dayville CT 06241-2170. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mackenzie, Kathleen can be contacted via phone (860) 774-2020.

Contact Information

Primary practice address
1007 N Main St Dayville CT 06241-2170
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7398 Connecticut

Profile Details

NPI number 1942715818
LBN Legal business name Mackenzie, Kathleen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Dec 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942715818 NPPES
Connecticut Other 7398 APRN LICENSE NUMBER

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