Individual
BRENDA MICHELLE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6811 S 204TH ST STE 280, KENT, WA 98032-1352
(888) 674-5871
Mailing address
6811 S 204TH ST, KENT, WA 98032-2359
(888) 674-5871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60933034
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61280443
WA
Other
Enumeration date
04/29/2022
Last updated
09/30/2022
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