Most Relevant Information
Provider Data
| NPI Number: | 1003672502 |
| Provider Name: | KELSAN MCKENZIE CONEKIN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN9622439 |
Most Important Dates
| Enumeration Date: | 02/22/2024 |
| Last Updated: | 02/22/2024 |
Provider Practice Location
1324 LAKELAND HILLS BLVD
LAKELAND
FL
338054543
Practice Location Phone/Fax
| Phone: | 8636871100 |
| Fax: |
Provider Mailing Location
2119 CATTLEMAN DR
BRANDON
FL
335112119
Provider Mailing Phone/Fax
| Phone: | 3523596913 |
| Fax: |