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KENNETH PACK JR. D.C.
NPI 1740507714
Chiropractor in Vian, OK

Active since April 29, 2010Accepts Medicare Assignment
512 S. THORTON STREET, VIAN, OK 74962(918) 773-3025 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Pack Jr. D.c. NPPES

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

KENNETH PACK JR. D.C. (NPI 1740507714) is an individual chiropractor in Vian, Oklahoma, licensed in Oklahoma (3978) and active in the NPI registry since April 2010. He is a graduate of Other (2009).

NPPES Registry Identity

NPI1740507714
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKENNETH PACK JR.Credential: D.C.
Location Address512 S. THORTON STREETVian, OK 74962
Mailing Address31179 Molly Brown Mt. Rd.Cookson, OK 74427 · (918) 781-9994
Phone(918) 773-3025
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 29, 2010
✔ NPI 1740507714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 3978
Definition
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.
512 S. THORTON STREET, Vian, OK 74962
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Pack Jr. D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587795075
PECOS Enrollment IDI20100628000385

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
405 services60 patients

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 Kenneth Pack's NPI number?

The NPI number for Kenneth Pack is 1740507714. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Kenneth Pack located?

Kenneth Pack practices at 512 S. Thorton Street, Vian, OK 74962. The listed phone number is (918) 773-3025.

What is Kenneth Pack's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kenneth Pack enrolled in Medicare?

Yes. Kenneth Pack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Pack accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kenneth Pack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Pack was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.