Provider Demographics
NPI:1609688936
Name:MCKENZIE, BUFFY JOE
Entity type:Individual
Prefix:
First Name:BUFFY
Middle Name:JOE
Last Name:MCKENZIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 N KING ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-1615
Mailing Address - Country:US
Mailing Address - Phone:402-372-8018
Mailing Address - Fax:
Practice Address - Street 1:345 E GARFIELD ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-2327
Practice Address - Country:US
Practice Address - Phone:402-372-8018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion