Individual
KRISTIN MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 MILLERS RUN RD STE 300, BRIDGEVILLE, PA 15017-1356
(412) 262-2415
(128) 380-9034
Mailing address
11279 PERRY HWY, SUITE 450, WEXFORD, PA 15090-9381
(724) 933-1100
(724) 933-1160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA054772
PA
Other
Enumeration date
02/11/2011
Last updated
01/25/2022
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