Mack, Kenneth J

Mack, Kenneth J is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Mack, Kenneth J can be contacted via phone (608) 890-6500.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 890-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 44001 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 31065 Wisconsin
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 44001 Minnesota
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 31065 Wisconsin

Profile Details

NPI number 1689651044
LBN Legal business name Mack, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Mar 15th, 2024 - about last year

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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