Mackenzie Smith

NPI #1326749441 in Stilwell, Kansas

Provider Information

NPI Number: 1326749441
Entity Type: Individual
Name: Mackenzie Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 15, 2023
Last Updated: Mar 15, 2023

Practice Location

Address: 16511 LOWELL AVE APT 8404
City: Stilwell
State: Kansas
ZIP Code: 66085-7918
Phone: (913) 484-3239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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