Individual
MACKENZI KAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1115 W 9TH ST, YANKTON, SD 57078-3310
(605) 668-8805
(605) 668-9448
Mailing address
1115 W 9TH ST, YANKTON, SD 57078-3310
(605) 668-8805
(605) 668-9448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002448
IA
363A00000X
Physician Assistant
Primary
1253
SD
Other
Enumeration date
09/27/2013
Last updated
08/10/2021
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