Basic Information
| Provider Information | |||||||||
| NPI: | 1629096516 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCKENZIE | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | KAY | ||||||||
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| Credential: | CRNA | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BILLOW | ||||||||
| OtherFirstName: | LINDA | ||||||||
| OtherMiddleName: | KAY | ||||||||
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| OtherCredential: | CRNA | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 11143 W 17TH AVE | ||||||||
| Address2: | APT 106 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802156204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8583446221 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 300 E HAMPDEN AVE #202 | ||||||||
| Address2: | OB GYN ANESTHESIA PC | ||||||||
| City: | ENGLEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801132654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037891940 | ||||||||
| FaxNumber: | 3037892132 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 106200 | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.