Individual
MRS. MAKENZIE ANN MCKERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
16 THIRD STREET UVMHN ALICE HYDE MEDICAL CENTER OB/GYN, SUITE C, MALONE, NY 12953
(518) 481-2896
(518) 481-2895
Mailing address
16 THIRD STREET AHMC OB/GYN & MIDWIFERY, SUITE C, MALONE, NY 12953
(518) 481-2896
(518) 481-2895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0142363
VT
363L00000X
Nurse Practitioner
Primary
421700
NY
Other
Enumeration date
10/24/2022
Last updated
12/20/2024
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