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MACKENZIE LYNN HATTABAUGH
NPI 1003697996
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since October 09, 2023
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mackenzie Lynn Hattabaugh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE LYNN HATTABAUGH (NPI 1003697996) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1003697996
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE LYNN HATTABAUGH
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address1111 W 17th StTulsa, OK 74107-1886 · (918) 582-1972
Phone(918) 582-1972
Sole ProprietorNo
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 7, 2023
✔ NPI 1003697996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1111 W 17TH ST, Tulsa, OK 74107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE ALLEN BENJAMIN PH.D.
Specialist (Research Study)
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-1222
PREMIER LABS, LLC
Clinical Medical Laboratory
1111 W 17TH ST, ATTN: JARRAD WAGNER
TULSA, OK 74107
Tulsa County (541) 301-8476
STATE OF OKLAHOMA
Clinical Medical Laboratory
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-1421
GABRIEL JIMENEZ
Specialist/Technologist (Athletic Trainer)
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (504) 330-2592
JONATHAN HERRICK
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-8255
TYRUS SCHMALZ
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 561-8255
ALICIA TOMLIN DO
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
JOSHUA GEORGE
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

Frequently Asked Questions

What is Mackenzie Hattabaugh's NPI number?

The NPI number assigned to this healthcare provider is 1003697996, enumerated as an "individual" on October 09, 2023.

Where is the provider located?

The provider is located at 1111 W 17TH ST TULSA, OK 74107 and the phone number is (918) 582-1972.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.