Individual
JENNIFER LOUISE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19550 E 39TH ST S STE 110, INDEPENDENCE, MO 64057-2353
(816) 698-8900
(816) 698-8905
Mailing address
4125 STATE LINE RD, KANSAS CITY, MO 64111-4423
(816) 908-9739
(816) 908-9738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012014779
MO
Other
Enumeration date
04/16/2012
Last updated
08/24/2022
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