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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MCKENZIE GAIL BREAULT

Active

MCKENZIE GAIL BREAULT is a Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1992549984 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PHILADELPHIA, PA

Registration Details

NPI Number
1992549984
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2024 (2.1376758135026 yrs)
Last Updated
Jul 10, 2024

Practice Information

Address
600 S 43RD ST
PHILADELPHIA, PA, 191044418
Browse PA providers · Browse ZIP 19104
Phone
7152207117
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PHILADELPHIA, PA

Name Credential NPI
WILLIAM J GLASSMIRE PAC 1154329944
JOHN M. CAVENAGH PA 1649271313
CHRISTINA L CHAMBLEY PA-C 1568463073
BIANCA IVETTE SANTIAGO PA-C 1952385197
SANDRA Q MCCARTHY PA C 1770569311
PAUL D BRADFORD PA-C 1588641435
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.