Individual
MCKENZIE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-5000
Mailing address
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111-2208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
08/04/2021
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