ROD D KACK MD
NPI 1629123815
Specialist in Twin Falls, ID

Active since January 25, 2007
706 N COLLEGE RD STE C, TWIN FALLS, ID 83301(208) 735-1000(208) 732-5345 Get Directions Write a Review

NPPES record last updated: February 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rod D Kack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROD D KACK MD (NPI 1629123815) is an individual specialist in Twin Falls, Idaho, licensed in Idaho (M6895) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1629123815
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameROD D KACKCredential: MD
Location Address706 N COLLEGE RD STE CTwin Falls, ID 83301-5824
Mailing Address706 N College Rd Ste CTwin Falls, ID 83301-5824 · (208) 735-1000 · Fax (208) 732-5345
Fax(208) 732-5345
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateFebruary 6, 2012
NPI 1629123815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in ID · M6895
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
706 N COLLEGE RD STE C, Twin Falls, ID 83301

Other Identifiers 3

Medicare ID-Type Unspecified1377791ID
Medicare UPINA89785ID
Medicaid805168100ID

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
706 N COLLEGE RD STE C
TWIN FALLS, ID 83301
Pediatrics
706 N COLLEGE RD STE C
TWIN FALLS, ID 83301
Physician Assistant
706 N COLLEGE RD STE C
TWIN FALLS, ID 83301
Specialist
706 N COLLEGE RD STE C
TWIN FALLS, ID 83301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rod Kack's NPI number?

The NPI number for Rod Kack is 1629123815. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Rod Kack located?

Rod Kack practices at 706 N College Rd Ste C, Twin Falls, ID 83301. The listed phone number is (208) 735-1000.

What is Rod Kack's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Rod Kack was last updated on February 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.