Individual provider · Type 1 NPI
Mackenzie Ketchum
Student in an Organized Health Care Education/Training Program · Mount Vernon, IA
NPI number
1316756208
Active
Practice location
218 5th Ave NW
Mount Vernon, IA 52314-1225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
About NPI 1316756208
Mackenzie Ketchum's National Provider Identifier is 1316756208, issued on Jan 6, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mount Vernon, IA. The record was last updated on Jan 6, 2025.