Individual provider · Type 1 NPI
Kenneth Pack Jr., DC
Chiropractor · Vian, OK
NPI number
1740507714
Active
Practice location
512 S. Thorton Street
Vian, OK 74962
Mailing address
31179 Molly Brown Mt. Rd.
Cookson, OK 74427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3978 (OK) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1740507714
Kenneth Pack Jr., DC's National Provider Identifier is 1740507714, issued on Apr 29, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Vian, OK. The record was last updated on Apr 29, 2010.