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MCKENZI FREDERICK RN
NPI 1104588326
Registered Nurse in Flora, IL

Active since October 06, 2021
165 KINNAMAN DR, FLORA, IL 62839(618) 662-8386 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mckenzi Frederick Rn NPPES

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

MCKENZI FREDERICK RN (NPI 1104588326) is an individual registered nurse in Flora, Illinois, licensed in Illinois (041501632) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1104588326
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMCKENZI FREDERICKCredential: RN
Location Address165 KINNAMAN DRFlora, IL 62839-4204
Mailing Address4241 Highway 14 WChristopher, IL 62822-1037 · (618) 724-1684
Phone(618) 662-8386
Sole ProprietorNo
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1104588326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in IL · 041501632
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
165 KINNAMAN DR, Flora, IL 62839
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Other Names 1

Former Name (1)Mckenzi Blair Rn

Other Providers at the Same Location NPPES 5

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

EMILY JILL ARNDT
Nurse Practitioner (Family)
165 KINNAMAN DR
FLORA, IL 62839
Clay County (618) 662-8386
TAYLOR RUDE RN
Registered Nurse
165 KINNAMAN DR
FLORA, IL 62839
Clay County (618) 724-2401
CHRISTOPHER GREATER AREA RURAL HEALTH PLANNING CORP
Clinic/Center (Federally Qualified Health Center (FQHC))
165 KINNAMAN DR
FLORA, IL 62839
Clay County (618) 662-8386
HANNAH ELISE BAITY MA, LCPC
Counselor (Professional)
165 KINNAMAN DR
FLORA, IL 62839
Clay County (618) 662-8386
DELANEY ELLIOTT RN
Registered Nurse
165 KINNAMAN DR
FLORA, IL 62839
Clay County (618) 662-8386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenzi Frederick's NPI number?

The NPI number for Mckenzi Frederick is 1104588326. It was assigned to this individual provider in the NPPES registry on October 6, 2021. The provider is also known as Mckenzi Blair Rn.

Where is Mckenzi Frederick located?

Mckenzi Frederick practices at 165 Kinnaman Dr, Flora, IL 62839. The listed phone number is (618) 662-8386.

What is Mckenzi Frederick's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Mckenzi Frederick was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.