Individual
KAY MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
1502 WESTEN ST, SUITE 1, BOWLING GREEN, KY 42104-5804
(270) 746-9941
(270) 746-0729
Mailing address
1505 BARNARD WAY, BOWLING GREEN, KY 42103-1567
(270) 901-5000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33900200
—
KY
Enumeration date
08/14/2007
Last updated
08/14/2007
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