NPI 1053071902
Mackenzie D Flahaut
Practice location
- Address
- 405 S Main St, Belle Rive, IL 62810-1228
- Phone
- (618) 316-1626
- Mailing address
- 16680 N Millikin Ln, Mount Vernon, IL 62864-7925
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1053071902
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Dec 2021
- Record last updated
- 20 Dec 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.