Kenneth T. Mack, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8704 Issued in FL

Legal business name

KENNETH T. MACK, P.A.

Practice address

1525 S Alafaya TRL
Suite 105
Orlando, FL 32828-8926

Phone

(407) 282-3223

Fax

(407) 282-3339

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Thomas Mack, D.C

Title

Doctor

Phone

(407) 282-3223

Specialties & licenses 1

Addresses

Other names 1

• SOUTH ALAFAYA CHIROPRACTIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1780703397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S ALAFAYA TRL",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288926",
            "telephone_number": "407-282-3223",
            "fax_number": "407-282-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S ALAFAYA TRL",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288926",
            "telephone_number": "407-282-3223",
            "fax_number": "407-282-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH T. MACK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "407-282-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH ALAFAYA CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mackenzie Rose Kennedy, LAT, ATC
• Richard Kennedy, APRN
• Tchavian S Kennedy
• Tracey Kennedy, OTR/L
• Yolanda Kennedy, M.A.
• David Michael Kenney Sr.
• Kristiana Kenney
• Jessica Kenning, MAT, LAT, ATC, CSCS
• Holly Kennon
• Kenny Chantasi DO PLLC

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.