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Contact Information

JACOB MCKENZIE
1340 HAL GREER BLVD
HUNTINGTON, WV25701
 Phone: 304-638-9517
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JACOB MCKENZIE · (Male)

NPI # 1912409624
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2018
Last updated 07/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WV License # APRN79908CRNA
Hospital affiliation(s)
  • CABELL-HUNTINGTON HOSPITAL INC - (Acute Care)
    1340 HAL GREER BOULEVARD
    HUNTINGTON, WV 25701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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