Individual
MACKENZIE JO KEUTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-03207
KS
363A00000X
Physician Assistant
2023029157
MO
Other
Enumeration date
03/03/2022
Last updated
02/18/2026
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