Individual
KRISTIN DIANE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, BSN, PMHNP-BC
Contact information
Practice address
3055 SOUTHWESTERN BLVD STE 110, ORCHARD PARK, NY 14127-1231
(716) 903-6036
(716) 463-2225
Mailing address
3055 SOUTHWESTERN BLVD STE 110, ORCHARD PARK, NY 14127-1231
(716) 903-6036
(716) 463-2225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
562312
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401631
NY
Other
Enumeration date
07/11/2013
Last updated
04/02/2024
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