Individual
KATELYN MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2999
(207) 662-6236
Mailing address
3344 W ELIZABETH ST, FORT COLLINS, CO 80521-3479
(605) 270-1290
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA233001
ME
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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