Keith R Mack, M.D. Valid NPI
Individual provider · Independent Medical Examiner Physician · Denham Springs, LA
- NPI
- 1366646937
- Type
- Individual (Type 1)
- Primary specialty
- Independent Medical Examiner Physician (Independent Medical Examiner)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 202C00000X
- License number
- 14885 (LA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-06-14
- Last updated
- 2007-07-08
Practice location
1567 S Range Ave
Denham Springs, LA 70726-5201
(225) 665-3500