Keith R Mack in Denham Springs - Independent Medical Examiner
Keith R Mack - NPI 1366646937
Keith R Mack is a Independent Medical Examiner in Denham Springs, Louisiana. Keith R Mack practices all healthcare services and medical treatments related to Independent Medical Examiner. The NPI Number for Keith R Mack is 1366646937. The last update date is 2007-07-08.
Keith R Mack's current location address is 1567 S Range Ave, Denham Springs, Louisiana. You can contact this provider via phone number 2256653500 and fax number 2256653518. The mailing address for Keith R Mack is 1567 S Range Ave, Denham Springs, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith R Mack |
|---|---|
| Address | 1567 S Range Ave, Denham Springs, Louisiana |
| Phone Number | 2256653500 |
| Fax Number | 2256653518 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366646937 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1567 S Range Ave |
|---|---|
| City | Denham Springs |
| State | Louisiana (LA) |
| Post Code | 707265201 |
| Phone Number | 2256653500 |
| Fax Number | 2256653518 |
Provider's Primary Taxonomy Detail
| Speciality | Independent Medical Examiner |
|---|---|
| Taxonomy | 202C00000X |
| Licence No | 14885 |
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Definition: 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. |
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What is the unique 10-digit identifier code issued to Keith R Mack by the Centers for Medicare & Medicaid Services?
The Keith R Mack has been assigned the NPI (National Provider Identifier) 1366646937 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Keith R Mack located?
The Keith R Mack is located at 1567 S Range Ave, Denham Springs, LA 707265201.
What is the Keith R Mack's specialty and taxonomy code?
The Keith R Mack's specialty is Independent Medical Examiner, and the corresponding taxonomy code is 202C00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366646937 to Keith R Mack?
The Centers for Medicare & Medicaid Services assigned the 1366646937 to Keith R Mack on 2007-06-14.
As of what date were the details related to Keith R Mack most recently updated or revised?
The information pertaining to Keith R Mack, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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