Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH DALE MACKNET JR., M.D.
ActiveDR. KENNETH DALE MACKNET JR., M.D. is a Dermatology healthcare provider located in SMYRNA, Tennessee. NPI 1922199306 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SMYRNA, TN
Registration Details
- NPI Number
- 1922199306
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.895879212468 yrs)
- Last Updated
- Nov 4, 2025
- Licenses
-
A63594 (CA)A63594 (CA)A63594 (CA)A63594 (CA)
Practice Information
- Address
-
617 POTOMAC PL STE 402SMYRNA, TN, 371675657Browse TN providers · Browse ZIP 37167
- Phone
- 6154627682
- Fax
- 6154627684
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Obesity Medicine
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.