Mack, Kenneth

Mack, Kenneth is an individual health care provider with primary practice located at 924 N Country Club Dr , Mesa AZ 85201-4108. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Mack, Kenneth can be contacted via phone (480) 969-3800.

Contact Information

Primary practice address
924 N Country Club Dr Mesa AZ 85201-4108
Phone: (480) 969-3800
Fax: (480) 834-7003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1548647308
LBN Legal business name Mack, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2015
Last updated Apr 30th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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