Kenneth J Mack, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Madison, WI with 40 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Kenneth J Mack, M.D. NPI is 1689651044. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1984
The provider's business location address is:
600 HIGHLAND AVE
MADISON, WI
ZIP 53792-001
Phone: (608) 890-6500
The NPI 1689651044 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/28/2005 and was last updated on 3/15/2024.