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Individual

KRISTI H. MCKENZIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 W HIGHWAY 71, MARBLE FALLS, TX 78654-8606
(830) 201-7100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
39414
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
P7506
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37903705
MEDICAID LAB GROUP
KY
01
4000501
MEDICARE LAB GROUP
KY
05
64100191
KY
Enumeration date
05/10/2006
Last updated
05/09/2023
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