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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861538654 NPPES
Missouri MEDICAID 428744205

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