Individual
DEBRA KAY MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6840 BRUSH LAKE RD, NORTH LEWISBURG, OH 43060-9621
(937) 407-6730
Mailing address
6840 BRUSH LAKE RD, NORTH LEWISBURG, OH 43060-9621
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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