Organization
MARK A. KENZIK, M.A., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A KENZIK MA (OWNER)
(828) 696-8272
Entity
Organization
Contact information
Practice address
1727 BREVARD RD, HENDERSONVILLE, NC 28791-3201
(828) 696-8272
Mailing address
PO BOX 1689, ETOWAH, NC 28729-1689
(828) 891-5524
(828) 891-4069
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48509
BCBS
NC
Enumeration date
08/29/2006
Last updated
12/16/2010
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