Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548647308 Individual Practitioner Male Practitioner

Kenneth Mack

Technician, Other • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Kenneth Mack is a registered healthcare professional specializing in Technician, Other in Mesa, AZ. Practice services are available at 924 N COUNTRY CLUB DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

924 N Country Club Dr

Mesa, AZ 852014108

Telephone 4809693800
Fax 4808347003
Associated Practice Facility / Clinic
🏢 Marc Community Resources, Inc Facility NPI 1548474091

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Mesa, AZ (103 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003125972
Kimberly Brown , BHT

Technician, Other

NPI 1003279043
NPI 1013162254

Bachelor of Arts, BHT

NPI 1013167139
NPI 1013340785
NPI 1023267713

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2015

Registered at 924 N COUNTRY CLUB DR, MESA, AZ 852014108 (Tel: 4809693800)

📍
Updated Business Mailing Address April 30, 2015

Registered at 924 N COUNTRY CLUB DR, MESA, AZ 852014108 (Tel: 4809693800)

👤
Provider Name / Credentials Updated April 30, 2015

Recorded as KENNETH MACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2015

Technician, Other

🟢
Initial NPI Registration & Enumeration April 30, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548647308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2015
Last Update: April 30, 2015
Sole Proprietor: No

Mailing Address

924 N Country Club Dr

Mesa, AZ 852014108

Phone: 4809693800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.