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Mackenzie Shea Kimball, DO,MS
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
NPI 1245932268

Mackenzie Shea Kimball is a Student in an Organized Health Care Education/Training Program based in Hackensack, NJ. Mackenzie Shea Kimball practices in Hackensack, NJ and has the professional credentials of DO,MS. The NPI Number for Mackenzie Shea Kimball is 1245932268 and holds a License No. (New Jersey).

The current practice location address for Mackenzie Shea Kimball is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 551-996-2331 and via fax at 551-996-0937.

Location: 30 Prospect Ave, Hackensack, NJ, 07601-1915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245932268
Provider Name
Mackenzie Shea Kimball
Credential
DO,MS
Provider Entity Type
Individual
Gender
Female
Address
30 Prospect Ave, Hackensack, NJ, 07601-1915
Phone Number
551-996-2331
Fax Number
551-996-0937
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-2331
Fax Number
551-996-0937
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
551-996-2331
Fax Number
551-996-0937
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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