Individual
DR. JANA MIRIAM MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6406
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO52051
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2012
Last updated
01/06/2021
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