NPI 1366646937

Keith R Mack, MD

Practitioner Independent Medical Examiner Physician Denham Springs, LA

Practice location

Address: 1567 S Range Ave, Denham Springs, LA 70726-5201
Phone: (225) 665-3500
Fax: (225) 665-3518

Registered specialties

Independent Medical Examiner Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202C00000X Licence 14885 (LA)

Other Independent Medical Examiner providers in Louisiana →

Registry record

NPI: 1366646937
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.