Kenneth Pack Jr., D.C.

Chiropractor · Vian, OK

Individual Active NPI

NPI number 1740507714

Practice location

512 S. Thorton Street
Vian, OK 74962
Phone
(918) 773-3025

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NPI record

NPI
1740507714
Entity type
Individual (Type 1)
Enumeration date
April 29, 2010
Last updated
April 29, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 3978 OK

Mailing address

31179 Molly Brown Mt. Rd.
Cookson, OK 74427
Phone
(918) 781-9994

About Dr. Pack

Kenneth Pack Jr., D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 512 S. Thorton Street, Vian, OK 74962. The NPI number 1740507714 was assigned on April 29, 2010 and the record was last updated on April 29, 2010.

Dr. Pack lists a license in the registry: #3978 (OK) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Pack Jr., D.C.?

The NPI number is 1740507714.

What is the phone number of Dr. Pack?

The phone number listed for the practice location is (918) 773-3025.

Where is Dr. Pack located?

512 S. Thorton Street, Vian, OK 74962.

What is the taxonomy code for Dr. Pack?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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