Individual
MRS. MARY KATHLEEN MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
(302) 994-2511
(302) 633-5438
Mailing address
15 GINA MARIE LN, ELKTON, MD 21921-4962
(410) 620-1125
(410) 620-1147
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LB-0000170
DE
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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