Dr Kenneth C Mace, PHD in Columbia, MO - Psychologist

Dr Kenneth C Mace, PHD is a Psychologist - Clinical based in Columbia, Missouri. Dr Kenneth C Mace is licensed to practice in Missouri (license number PY00304) and his current practice location is 3040 W Wildflower Ct, Columbia, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 442-9255.

NPI number for Dr Kenneth C Mace is 1558375501 and his current mailing address is 3040 W Wildflower Ct, Columbia, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558375501.

Contact Information

	Dr Kenneth C Mace, PHD
	3040 W Wildflower Ct, Columbia, MO 65203-9573
	(573) 442-9255
	(573) 442-9255

Healthcare Provider's Profile

Full Name	Dr Kenneth C Mace
Gender	Male
Speciality	Psychologist - Clinical
Location	3040 W Wildflower Ct, Columbia, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1558375501
Provider Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kenneth C Mace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558375501	NPI	-	NPPES
13738	Other	MO	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY00304 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth C Mace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kenneth C Mace, PHD 3040 W Wildflower Ct, Columbia, MO 65203-9573 Ph: (573) 442-9255	Dr Kenneth C Mace, PHD 3040 W Wildflower Ct, Columbia, MO 65203-9573 Ph: (573) 442-9255

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Dr Kenneth C Mace, PHD - Psychologist in Columbia, MO