Individual
MR. KERRY LEE MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1204 HILLTOP DR, SUITE 108, ROCK SPRINGS, WY 82901-5861
(307) 352-8125
(307) 352-8126
Mailing address
1208 HILLTOP DR, SUITE 100, ROCK SPRINGS, WY 82901-5857
(307) 352-8199
(307) 352-8148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
166
WY
Other
Enumeration date
03/21/2007
Last updated
08/24/2012
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