Individual
MACKENZIE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11124 E 28TH ST N STE 103, WICHITA, KS 67226-4562
(316) 789-3192
Mailing address
11124 E 28TH ST N STE 103, WICHITA, KS 67226-4562
(316) 789-3192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-81287-052
KS
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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