Individual
CAROL ELIZABETH MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
INTERN
Contact information
Practice address
2705 OSHAUGHNESSY ST, MISSOULA, MT 59808
(406) 240-6674
Mailing address
2705 OSHAUGHNESSY ST, MISSOULA, MT 59808-1329
(406) 240-6674
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MT
Other
Enumeration date
09/16/2017
Last updated
07/21/2022
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