Mckenzie, Patricia Flynn
Mckenzie, Patricia Flynn is an individual health care provider with primary practice located at 915 N Grand Blvd Primary Care Service Line, Saint Louis MO 63106-1621. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Mckenzie, Patricia Flynn can be contacted via phone (314) 652-4100.Contact Information
Primary practice address
915 N Grand Blvd Primary Care Service Line
Saint Louis MO 63106-1621
Phone: (314) 652-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 143563 | Missouri |
Profile Details
| NPI number | 1861538654 |
|---|---|
| LBN Legal business name | Mckenzie, Patricia Flynn |
| Credentials | B.C, A.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 15th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861538654 | NPPES |
| Missouri | MEDICAID | 428744205 |
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