Mckenzie, Kerry Alicia

Mckenzie, Kerry Alicia is an individual health care provider with primary practice located at 1 Jefferson Barracks Rd , Saint Louis MO 63125-4181. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Mckenzie, Kerry Alicia can be contacted via phone (314) 652-4100.

Contact Information

Primary practice address
1 Jefferson Barracks Rd Saint Louis MO 63125-4181
Phone: (314) 652-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209027653 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2023016833 Missouri

Profile Details

NPI number 1033898838
LBN Legal business name Mckenzie, Kerry Alicia
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Jul 18th, 2023 - about 3 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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