Individual
MAKENZIE GINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E COUNTY LINE RD STE 202, GREENWOOD, IN 46143-1063
(317) 396-1300
Mailing address
13904 AMBRIA DR, MCCORDSVILLE, IN 46055-7201
(317) 605-0288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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