Individual
MCKENZIE DEE MACMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
(314) 251-6800
Mailing address
2 HARROW CT, WENTZVILLE, MO 63385-6040
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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