Individual
ELIZABETH LEE MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1101 N ROCK RD, DERBY, KS 67037-3705
(316) 788-6963
(316) 789-1168
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77590
KS
Other
Enumeration date
10/31/2017
Last updated
11/16/2018
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