Individual
MACKENZIE SLAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2240 KARISA DR, GOSHEN, IN 46526-6943
(574) 522-0265
(574) 406-0025
Mailing address
111 N NAPPANEE ST, ELKHART, IN 46514-1957
(574) 522-0265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
01/25/2023
Last updated
09/24/2025
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