Individual provider · Type 1 NPI
Keith R. Mack, MD
Independent Medical Examiner Physician · Denham Springs, LA
NPI number
1366646937
Active
Practice location
1567 S Range Ave
Denham Springs, LA 70726-5201
Fax (225) 665-3518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Medical Examiner Physician Primary | 202C00000X | 14885 (LA) |
Independent Medical Examiner Physician: A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
2 other providers at this address
About NPI 1366646937
Keith R. Mack, MD's National Provider Identifier is 1366646937, issued on Jun 14, 2007. The primary taxonomy on file is Independent Medical Examiner Physician (202C00000X), and the practice location is in Denham Springs, LA. The record was last updated on Jul 8, 2007.