Individual
MCKENZIE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1201 NW FORT SILL BLVD, LAWTON, OK 73507-5446
(580) 355-8544
Mailing address
1201 NW FORT SILL BLVD, LAWTON, OK 73507-5446
(580) 355-8544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220643
OK
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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