Individual
MCKENZIE KATHRYN FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 NORTHWESTERN AVE, WEST LAFAYETTE, IN 47906-2975
(844) 787-3834
Mailing address
714 BUCHANAN ST APT 4, INDIANAPOLIS, IN 46203-1026
(770) 377-2109
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025093387
IN
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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