Individual
COURTNEY WILKINON MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2172 E 7200 S, SPANISH FORK, UT 84660-9340
(866) 805-1199
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
14022661-3101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14022661-3101
LICENSE
UT
Enumeration date
03/28/2025
Last updated
03/28/2025
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