Individual
MCKENZIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
STEPHEN KOPP HALL 1 JOHN MARSHALL DRIVE, HUNTINGTON, WV 25755-0001
(304) 412-7161
Mailing address
STEPHEN KOPP HALL 1 JOHN MARSHALL DRIVE, HUNTINGTON, WV 25755-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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