Individual
MCKENZIE ELISE BAUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 GRAYSON CT, LA VERGNE, TN 37086-3467
(615) 801-3690
Mailing address
517 GRAYSON CT, LA VERGNE, TN 37086-3467
(615) 801-3690
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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