Most Relevant Information
Provider Data
| NPI Number: | 1003014366 |
| Provider Name: | KAREN LEE MACKENNEY RN, FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 564482 |
Most Important Dates
| Enumeration Date: | 07/10/2007 |
| Last Updated: | 01/26/2012 |
Provider Practice Location
135 VISION PARK BLVD
SHENANDOAH
TX
773843001
Practice Location Phone/Fax
| Phone: | 2814043000 |
| Fax: | 2812909824 |
Provider Mailing Location
135 VISION PARK BLVD
SHENANDOAH
TX
773843001
Provider Mailing Phone/Fax
| Phone: | 2814043000 |
| Fax: | 2812909824 |