Individual
MCKENZIE JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
62 E THRIVE DR STE 220, SARATOGA SPRINGS, UT 84045-5560
(801) 768-8800
Mailing address
10323 N MESQUITE WAY, CEDAR HILLS, UT 84062-8067
(801) 430-7357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14181685-1206
UT
Other
Enumeration date
05/08/2023
Last updated
09/18/2024
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