Doctor Name: | MS. KATHERINE JOAN MACKENZIE |
NPI Number: | 1063674554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 5004019 |
Business Practice Address: | 409 Tallulah Rd Robbinsville, NC - 287718500 |
Business Phone Number: | 8284796434 |
Business Fax Number: | 8284792917 |
Mailing Address: | 409 Tallulah Rd, ROBBINSVILLE |
State: | NC |
Postal Code: | 287718500 |
Phone Number: | 8284796434 |
Fax Number: | 8284792917 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 06/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5004019 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |