Debra Kay McKenzie
Technician, Attendant Care Provider in North Lewisburg, OH. Individual provider (NPI-1).
NPI number1346854593
StatusActive
Last updated in NPPESSep 4, 2020
Details
- NPI
- 1346854593
- Entity type
- Individual (NPI-1)
- Name
- Debra Kay McKenzie
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 4, 2020
- Certification date
- Sep 4, 2020
- Last updated
- Sep 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
6840 Brush Lake RdNorth Lewisburg, OH 43060-9621
Phone 937-407-6730
Mailing address
6840 Brush Lake RdNorth Lewisburg, OH 43060-9621
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