Individual
KATTIE KOTOWSKI MACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NC-BC, CPT
Contact information
Practice address
16 POLLY DRUMMOND SHPG CTR, NEWARK, DE 19711-4861
(302) 367-5168
Mailing address
148 COOPERS DR, NEWARK, DE 19702-2120
(302) 367-5168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0046698
DE
Other
Enumeration date
09/24/2015
Last updated
12/29/2023
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