# MRS. NANCY J MCKENZIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891780086
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | KS148 | KS | Yes |

## Other

- **Enumeration date:** 09/14/2005
- **Last updated:** 06/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100352110C | — | KS |
| 01 | — | 100428860A | GROUP MEDICAID | — |
| 01 | — | 178960 | RURAL HEALTH MEDICARE | — |