Individual
MS. KIMBERLY ANNE MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(508) 241-6000
Mailing address
24 MAIN ST, NORFOLK, MA 02056-1404
(508) 241-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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