JACOB MCKENZIE

HUNTINGTON, WV
NPI1912409624
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  APRN79908CRNA)
Enumeration Date2018-03-08
Last Update Date2018-07-04
Business Address
JACOB MCKENZIE
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Phone number: 304-638-9517
Mailing Address
JACOB MCKENZIE
2725 ROUTE 75
KENOVA, WV 25530-9793
Phone number: 304-638-9517