Kenneth Dawyane Mack
Kenneth Dawyane Mack is a Community Health Worker in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1050 E Flamingo Rd Ste E-120Las Vegas, NV 89119-7427
Phone: (702) 733-8098
Fax: (702) 395-6457
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1891054763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2012 |
| Last updated in NPPES | May 11, 2012 |
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