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Individual

MCKENZIE JO KUSGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
3700 W 10TH ST STE 200, SEDALIA, MO 65301-2540
(660) 827-1771
(660) 827-1422
Mailing address
20500 HIGHWAY 41, BLACKWATER, MO 65322-2245
(660) 619-3551

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020016688
MO

Other

Enumeration date
06/17/2020
Last updated
06/17/2020
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