Mckenzie, Jennifer Irene

Mckenzie, Jennifer Irene is an sole proprietor health care provider with primary practice located at 1712 3Rd St , Radford VA 24141-1228. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Mckenzie, Jennifer Irene can be contacted via phone (540) 633-1712.

Contact Information

Primary practice address
1712 3Rd St Radford VA 24141-1228
Phone: (540) 633-1712
Fax: (540) 831-5082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126000633 Virginia

Profile Details

NPI number 1902007347
LBN Legal business name Mckenzie, Jennifer Irene
Credentials MSED, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Jul 8th, 2007 - about 18 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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