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Contact Information

MACKENZIE L GALE, CPNP-PC
1720 W GRAND ST
SPRINGFIELD, MO65802-4802
 Phone: 417-831-0150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for MACKENZIE L GALE · (Female)

NPI # 1205654027
Status Active
Credentials CPNP-PC
Entity Individual
Enumeration date 10/01/2024
Last updated 10/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2001014349
  • MO License # 2024040091
Hospital affiliation(s) Not Available
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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