Individual
KENNETH J MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 890-6500
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
31065
WI
2084N0400X
Neurology Physician
44001
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
31065
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
44001
MN
Other
Enumeration date
12/28/2005
Last updated
03/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us