Individual
MACKENZIE WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(615) 936-2555
(615) 936-3601
Mailing address
117 FAIRFIELD DR, MT STERLING, KY 40353-9385
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2020
Last updated
06/23/2023
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