Mackenzie Ketchum

NPI #1316756208 in Mount Vernon, Iowa

Provider Information

NPI Number: 1316756208
Entity Type: Individual
Name: Mackenzie Ketchum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 6, 2025
Last Updated: Jan 6, 2025

Practice Location

Address: 218 5TH AVE NW
City: Mount Vernon
State: Iowa
ZIP Code: 52314-1225
Phone: (319) 855-8141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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