Most Relevant Information
Provider Data
| NPI Number: | 1003436585 |
| Provider Name: | MAKENZIE LYNN ABBOTT PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 2020007089 |
Most Important Dates
| Enumeration Date: | 04/24/2020 |
| Last Updated: | 10/22/2021 |
Provider Practice Location
901 KIDWELL DR
VERSAILLES
MO
650841784
Practice Location Phone/Fax
| Phone: | 5733784666 |
| Fax: |
Provider Mailing Location
901 KIDWELL DR
VERSAILLES
MO
650841784
Provider Mailing Phone/Fax
| Phone: | 5733784666 |
| Fax: |