Kawanna Mckenzie SLP

NPI 1790944874 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1790944874
Gender Female
Enumeration Date 06/04/2008
Last Updated 06/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
258 N RON MCNAIR BLVD
LAKE CITY SC, 29560-2462, US
Phone (843) 374-6198
Fax (843) 374-6180
Business Location
258 N RON MCNAIR BLVD
LAKE CITY SC, 29560-2462, US
Phone (843) 374-6198
Fax (843) 374-6180
Toxanomy
Taxonomy Code 235Z00000X
License State South Carolina
License Number 3913
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According to our database, Kawanna Mckenzie SLP NPI is 1790944874, taxonomy code is 235Z00000X and license number is 3913, license state is located at South Carolina. Kawanna Mckenzie SLP physically located at 258 N Ron Mcnair Blvd, Lake City SC, 29560-2462. NPI Number Kawanna Mckenzie SLP has the Individual type.

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1790944874 NPI number is provided on an as is basis without warranty of any kind. 1790944874 is maintained by the National Plan & Provider Enumeration System. The contents of Kawanna Mckenzie SLP are for informational purposes only.