Individual
MACKENZIE KRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
Mailing address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP.0027154
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0418639
—
OH
Enumeration date
02/17/2017
Last updated
10/28/2020
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