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Individual

MS. KATHERINE JOAN MACKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
11 CAVERN RDG, SYLVA, NC 28779-6001
(828) 777-3203

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6322
MN

Other

Enumeration date
06/26/2008
Last updated
03/15/2019
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