Individual
KAREN L MACKICHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 S 6TH AVE, 1-11C, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-4976
Mailing address
3601 S 6TH AVE, 1-11C, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-4976
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00026861
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110544
—
WA
Enumeration date
12/07/2006
Last updated
07/05/2016
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