Individual
MRS. KERRY ALICIA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2023016833
MO
363LP2300X
Primary Care Nurse Practitioner
209027653
IL
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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