person
Mrs. Nisha Kimberly Mckenzie, PA-C
Medical Physician Assistant in Grand Rapids, Michigan
NPI 1770578676

Nisha Kimberly Mckenzie is a Medical Physician Assistant based in Grand Rapids, MI and is specialized in Medical. Nisha Kimberly Mckenzie practices in Grand Rapids, MI and has the professional credentials of PA-C. The NPI Number for Nisha Kimberly Mckenzie is 1770578676 and holds a License No. 5601003946 (Michigan).

The current practice location address for Nisha Kimberly Mckenzie is 630 Kenmoor Ave Se Ste 103, Grand Rapids, MI and can be reached out via phone at 616-600-4950 and via fax at 855-817-3028.

Location: 630 Kenmoor Ave Se Ste 103, Grand Rapids, MI, 49546-8626
person
Provider Profile Details
NPI Number
1770578676
Provider Name
Nisha Kimberly Mckenzie
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
630 Kenmoor Ave Se Ste 103, Grand Rapids, MI, 49546-8626
Phone Number
616-600-4950
Fax Number
855-817-3028
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
630 Kenmoor Ave Se Ste 103
City
State
Zip
49546-8626
Phone Number
616-600-4950
Fax Number
855-817-3028
person
Provider Business Mailing Address Details
Address
630 Kenmoor Ave Se Ste 103
City
State
Zip
49546-8626
Phone Number
616-600-4950
Fax Number
855-817-3028
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601003946 (Michigan)
Definition
Definition to come...
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