Individual
MACKENZIE C BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1021 W 14TH ST, HASTINGS, NE 68901-3046
(402) 463-2423
(833) 450-5895
Mailing address
PO BOX 968, HASTINGS, NE 68902-0968
(402) 462-8456
(833) 450-5895
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2711
NE
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027780100
—
NE
Enumeration date
04/28/2022
Last updated
03/04/2026
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