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Mackenzie Ann Kelbel

Student in an Organized Health Care Education/Training Program

Student, Health Care

19555 N 59th Ave, Glendale, AZ 85308

PECOS Enrollment

This provider is enrolled in PECOS as MACKENZIE KELBEL.

Based on the most recent information from CMS, provider Mackenzie Ann Kelbel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1124673272
Provider Type
Individual
Full Name
Kelbel, Mackenzie Ann
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/6/2019
Last Updated
8/6/2019

Contact Information

Practice Location

19555 N 59th Ave, Glendale, AZ 85308

(623) 572-3215

Unlisted Fax

Mailing Location

322 Skyline Dr, Petoskey, MI 49770-8650

(231) 881-1795

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Mackenzie Ann Kelbel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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