Kenneth Pack Jr, DC is a medicare enrolled "Chiropractor" provider in Vian, Oklahoma. His current practice location is
512 S. Thorton Street, Vian, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 773-3025.
Kenneth Pack Jr is licensed to practice in Oklahoma (license number 3978) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740507714.
Healthcare Provider's Profile
Full Name | Kenneth Pack Jr |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 512 S. Thorton Street, Vian, Oklahoma |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenneth Pack Jr attended and graduated from in
NPI Data:
- NPI Number: 1740507714
- Provider Enumeration Date: 04/29/2010
- Last Update Date: 04/29/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kenneth Pack Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740507714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3978 (Oklahoma) | 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. Kenneth Pack Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth Pack Jr, DC 31179 Molly Brown Mt. Rd., Cookson, OK 74427 Ph: (918) 781-9994 | Kenneth Pack Jr, DC 512 S. Thorton Street, Vian, OK 74962 Ph: (918) 773-3025 |
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