Individual
MRS. RAECHEL MARIE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4101 S 4TH ST BLDG 160, LEAVENWORTH, KS 66048
(913) 683-2628
Mailing address
4101 S 4TH ST BLDG 160, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
2016017434
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
76913
KS
Other
Enumeration date
07/12/2016
Last updated
10/19/2021
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