Healthcare Provider Details

I. General information

NPI: 1245934991
Provider Name (Legal Business Name): MCKENZIE KATHRYN LEHNARTZ DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 MAIN ST W
WABASHA MN
55981-1236
US

IV. Provider business mailing address

131 MAIN ST W
WABASHA MN
55981-1236
US

V. Phone/Fax

Practice location:
  • Phone: 651-565-4863
  • Fax:
Mailing address:
  • Phone: 651-565-4863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7094
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: