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KENNETH MACK
NPI 1548647308
Technician, Other in Mesa, AZ

Active since April 30, 2015
924 N COUNTRY CLUB DR, MESA, AZ 85201(480) 969-3800(480) 834-7003 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Mack NPPES

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

KENNETH MACK (NPI 1548647308) is an individual technician, other provider in Mesa, Arizona and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1548647308
Entity TypeIndividualMale
Primary Taxonomy247200000X
Provider Legal NameKENNETH MACK
Location Address924 N COUNTRY CLUB DRMesa, AZ 85201-4108
Mailing Address924 N Country Club DrMesa, AZ 85201-4108 · (480) 969-3800 · Fax (480) 834-7003
Phone(480) 969-3800
Fax(480) 834-7003
Sole ProprietorNo
Enumeration DateApril 30, 2015
✔ NPI 1548647308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
924 N COUNTRY CLUB DR, Mesa, AZ 85201
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Other Providers at the Same Location NPPES 20

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

JENNIFER CHRISTINE FENDLER NP
Nurse Practitioner (Psychiatric/Mental Health)
924 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 601-3528
DONN DAVID DECARLO BA/BHT
Technician
924 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 969-3800
STEVEN M. HILGER BHT
Technician
924 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 969-3800
ANGELA S HURLEY BHT
Counselor
924 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 969-3800
NADIA MARIE LAMBERT LPC, LISAC
Counselor (Mental Health)
924 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 969-3800
DONNA KOWITT
Counselor (Mental Health)
924 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 969-3800
HELEN RUSSELL CLINICAL LIAISON BHT
Technician
924 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 969-3800
JOHN GIOIA BHT
Technician, Other
924 N COUNTRY CLUB DR
MESA, AZ 85201
Maricopa County (480) 969-3800

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 Kenneth Mack's NPI number?

The NPI number for Kenneth Mack is 1548647308. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Kenneth Mack located?

Kenneth Mack practices at 924 N Country Club Dr, Mesa, AZ 85201. The listed phone number is (480) 969-3800.

What is Kenneth Mack's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Kenneth Mack was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.