Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH J MACK, M.D.
ActiveKENNETH J MACK, M.D. is a Neurology with Special Qualifications in Child Neurology healthcare provider located in MADISON, Wisconsin. NPI 1689651044 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · MADISON, WI
Registration Details
- NPI Number
- 1689651044
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2005 (20.591449699782 yrs)
- Last Updated
- Mar 15, 2024
- Licenses
-
44001 (MN)31065 (WI)44001 (MN)31065 (WI)
Practice Information
- Address
-
600 HIGHLAND AVEMADISON, WI, 537920001Browse WI providers · Browse ZIP 53792
- Phone
- 6088906500
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
Other Neurology with Special Qualifications in Child Neurology Providers in MADISON, WI
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID AMBROSE HSU | MD | 1740252972 |
| FREDERICK S EDELMAN | MD | 1366415986 |
| KRISTIN SEABORG | MD | 1831166016 |
| DR. MARY L ZUPANC | MD | 1861444366 |
| MARY K DOMINSKI | MD | 1407895428 |
| JENNIFER MEESUK KWON | MD | 1851306450 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.