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DR. KEITH R MACK M.D.
NPI 1366646937
Independent Medical Examiner in Denham Springs, LA

Active since June 14, 2007
1567 S RANGE AVE, DENHAM SPRINGS, LA 70726(225) 665-3500(225) 665-3518 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith R Mack M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH R MACK M.D. (NPI 1366646937) is an individual independent medical examiner provider in Denham Springs, Louisiana, licensed in Louisiana (14885) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1366646937
Entity TypeIndividualMale
Primary Taxonomy202C00000X
Provider Legal NameDR. KEITH R MACKCredential: M.D.
Location Address1567 S RANGE AVEDenham Springs, LA 70726-5201
Mailing Address1567 S Range AveDenham Springs, LA 70726-5201 · (225) 665-3500 · Fax (225) 665-3518
Phone(225) 665-3500
Fax(225) 665-3518
Sole ProprietorYes
Enumeration DateJune 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366646937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIndependent Medical ExaminerAllopathic & Osteopathic Physicians
Taxonomy Code202C00000X
License✔ Licensed in LA · 14885
Definition
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
1567 S RANGE AVE, Denham Springs, LA 70726
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ESSIE B MACK M.T.
Specialist/Technologist, Pathology (Medical Technologist)
1567 S RANGE AVE
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 665-3500
TRAUMA SPECIALISTS, APMC
Independent Medical Examiner
1567 S RANGE AVE
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 665-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Mack's NPI number?

The NPI number for Keith Mack is 1366646937. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Keith Mack located?

Keith Mack practices at 1567 S Range Ave, Denham Springs, LA 70726. The listed phone number is (225) 665-3500.

What is Keith Mack's specialty?

The primary specialty registered for this NPI is Independent Medical Examiner with taxonomy code 202C00000X.

When was this NPI record last updated?

The NPPES record for Keith Mack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.