KENNETH DAWYANE MACK
NPI 1891054763
Community Health Worker in Las Vegas, NV
About Kenneth Dawyane Mack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH DAWYANE MACK (NPI 1891054763) is an individual community health worker in Las Vegas, Nevada and active in the NPI registry since May 2012.
NPPES Registry Identity
Specialties & Licenses
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.
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 1891054763. It was assigned to this individual provider in the NPPES registry on May 11, 2012.
Where is Kenneth Mack located?
Kenneth Mack practices at 1050 E Flamingo Rd Ste. E-120, Las Vegas, NV 89119. The listed phone number is (702) 733-8098.
What is Kenneth Mack's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Kenneth Mack was last updated on May 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.