Individual provider · Type 1 NPI

Kenneth J. Mack, MD

Neurology with Special Qualifications in Child Neurology Physician · Madison, WI

NPI number 1689651044 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X44001 (MN)
Neurology Physician 2084N0400X31065 (WI)
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X44001 (MN)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X31065 (WI)

Neurology with Special Qualifications in Child Neurology Physician: 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.

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About NPI 1689651044

Kenneth J. Mack, MD's National Provider Identifier is 1689651044, issued on Dec 28, 2005. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Madison, WI. The record was last updated on Mar 15, 2024.