Mckenzie, Nisha Kimberly
Mckenzie, Nisha Kimberly is an individual health care provider with primary practice located at 630 Kenmoor Ave Se Ste 103 , Grand Rapids MI 49546-8626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mckenzie, Nisha Kimberly can be contacted via phone (616) 600-4950.Contact Information
Primary practice address
630 Kenmoor Ave Se Ste 103
Grand Rapids MI 49546-8626
Phone: (616) 600-4950
Fax: (855) 817-3028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601003946 | Michigan |
Profile Details
| NPI number | 1770578676 |
|---|---|
| LBN Legal business name | Mckenzie, Nisha Kimberly |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Sep 18th, 2020 - 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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