Kriss, Mackenzie

Kriss, Mackenzie is an individual health care provider with primary practice located at 340 S Broadway St , Akron OH 44308-1529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kriss, Mackenzie can be contacted via phone (330) 253-3100.

Contact Information

Primary practice address
340 S Broadway St Akron OH 44308-1529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP.0027154 Ohio

Profile Details

NPI number 1720527138
LBN Legal business name Kriss, Mackenzie
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2017
Last updated Oct 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720527138 NPPES
Ohio MEDICAID 0418639

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