IndividualActive
Kenneth Mack, M.D.
NPI 1689651044 · Neurology with Special Qualifications in Child Neurology Physician · Madison, WI
Provider details
- NPI number
- 1689651044
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 44001 (MN)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 31065 (WI)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 890-6500
Approximate (ZIP-level) locationGet directions
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2024-03-15
- Certified
- 2024-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.