Mckenzie, Jennifer Lea

Mckenzie, Jennifer Lea is an sole proprietor health care provider with primary practice located at 2840 Seckman Rd , Imperial MO 63052-1941. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mckenzie, Jennifer Lea can be contacted via phone (636) 296-5707.

Contact Information

Primary practice address
2840 Seckman Rd Imperial MO 63052-1941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2011041709 Missouri

Profile Details

NPI number 1427532399
LBN Legal business name Mckenzie, Jennifer Lea
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - 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 1427532399 NPPES
Missouri MEDICAID 235Z00000X

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