Individual
KATHLEEN MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6372 MECHANICSVILLE TPKE STE 105, MECHANICSVILLE, VA 23111-4705
(804) 559-4625
(804) 559-4627
Mailing address
6372 MECHANICSVILLE TPKE STE 105, MECHANICSVILLE, VA 23111-4705
(804) 559-4625
(804) 559-4627
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101002152
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2101002152
STATE LICENSE
VA
Enumeration date
06/01/2017
Last updated
03/17/2018
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