Individual
KEISHA S MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 N 12TH AVE BLDG B, ARCADIA, FL 34266-8752
(863) 494-1242
(863) 491-0466
Mailing address
4211 VAN DYKE RD, LUTZ, FL 33558-8005
(813) 443-7350
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9263398
FL
Other
Enumeration date
03/06/2023
Last updated
04/10/2024
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