Individual
MCKENZIE KUNNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 MAIN ST, CADIZ, KY 42211-9153
(270) 522-0898
Mailing address
633 OAK PARK BLVD, CALVERT CITY, KY 42029-8315
(270) 703-4462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016123
KY
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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