Individual
MCKENZIE HOLTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-4300
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1562
SD
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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