IndividualActive
Keith Mack, M.D.
NPI 1366646937 · Independent Medical Examiner Physician · Denham Springs, LA
Provider details
- NPI number
- 1366646937
- Entity type
- Individual
- Primary specialty
- Independent Medical Examiner PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14885 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1567 S Range Ave
Denham Springs, LA 70726-5201
Phone: (225) 665-3500
Fax: (225) 665-3518
Approximate (ZIP-level) locationGet directions
Mailing address
1567 S Range Ave
Denham Springs, LA 70726-5201
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.