Individual
MICHELLE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 RUSTIC WAY, PRINCETON, WV 24739-3634
(304) 425-2244
Mailing address
192 RUSTIC WAY, PRINCETON, WV 24739-3634
(304) 425-2244
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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