Individual provider · Type 1 NPI

Mary Mackenzie O'Brien, PA-S

Student in an Organized Health Care Education/Training Program · Fort Riley, KS

NPI number 1518875772 Active

Practice location

650 Huebner Rd
Fort Riley, KS 66442-4030

Call (785) 239-7973 Map

Mailing address

173 Westgate Dr
Elgin, IL 60123-4940

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1518875772

Mary Mackenzie O'Brien, PA-S's National Provider Identifier is 1518875772, issued on Aug 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Riley, KS. The record was last updated on Aug 31, 2026.