Kenneth Pack JR. D.C.

NPI 1740507714 - Chiropractor - 111N00000X

NPI Details
NPI 1740507714
Gender Male
Enumeration Date 04/29/2010
Last Updated 04/29/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
512 S. THORTON STREET
VIAN OK, 74962, US
Phone (918) 773-3025
Fax
Business Location
31179 MOLLY BROWN MT. RD.
COOKSON OK, 74427, US
Phone (918) 781-9994
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Oklahoma
License Number 3978
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According to our database, Kenneth Pack JR. D.C. NPI is 1740507714, taxonomy code is 111N00000X and license number is 3978, license state is located at Oklahoma. Kenneth Pack JR. D.C. physically located at 512 S. Thorton Street, Vian OK, 74962. NPI Number Kenneth Pack JR. D.C. has the Individual type.

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1740507714 NPI number is provided on an as is basis without warranty of any kind. 1740507714 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Pack JR. D.C. are for informational purposes only.