Individual
GRETA MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4969
(270) 886-5186
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/06/2007
Last updated
01/07/2021
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