Individual
MACKENZIE HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 GARDINER LN, LOUISVILLE, KY 40205-2962
(502) 413-8640
Mailing address
628 MILES RD, NICHOLASVILLE, KY 40356-1655
(502) 262-1201
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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