Mckenzie Lively
NPI #1356120471 in Mountain Home, Arkansas
Provider Information
- NPI Number
- 1356120471
- Entity Type
- Individual
- Name
- Mckenzie Lively
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 27, 2023
- Last Updated
- Sep 27, 2023
Practice Location
- Address
- 17 MEDICAL PLZ
- City
- Mountain Home
- State
- Arkansas
- ZIP Code
- 72653-2918
- Phone
- (870) 508-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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