Individual
KIESHIA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 BROOKDALE DR, AMERICUS, GA 31719-2801
(229) 314-0198
Mailing address
213 BROOKDALE DR, AMERICUS, GA 31719-2801
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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