Mckenzie, Amanda
Mckenzie, Amanda is an individual health care provider with primary practice located at 75 Kings Highway Cutoff , Fairfield CT 06824-5340. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mckenzie, Amanda can be contacted via phone (203) 333-1133.Contact Information
Primary practice address
75 Kings Highway Cutoff
Fairfield CT 06824-5340
Phone: (203) 333-1133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3870 | Connecticut |
Profile Details
| NPI number | 1629506092 |
|---|---|
| LBN Legal business name | Mckenzie, Amanda |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2017 |
| Last updated | Oct 2nd, 2019 - about 7 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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