Mckenzie, Jason D

Mckenzie, Jason D is an individual health care provider with primary practice located at 42 Treadway Drive , Owingsville KY 40360. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mckenzie, Jason D can be contacted via phone (606) 674-6396.

Contact Information

Primary practice address
42 Treadway Drive Owingsville KY 40360
Phone: (606) 674-6396
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3012593 Kentucky

Profile Details

NPI number 1265709497
LBN Legal business name Mckenzie, Jason D
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Oct 10th, 2019 - about 5 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 1265709497 NPPES
Kentucky MEDICAID 7100580860
Kentucky Other F07180892
Kentucky Other 3012593
Kentucky Other 1113790

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