Kack, Rod D
Kack, Rod D is an individual health care provider with primary practice located at 706 N College Rd Ste C , Twin Falls ID 83301-5824. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kack, Rod D can be contacted via phone (208) 735-1000.Contact Information
Primary practice address
706 N College Rd Ste C
Twin Falls ID 83301-5824
Phone: (208) 735-1000
Fax: (208) 732-5345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M6895 | Idaho |
Profile Details
| NPI number | 1629123815 |
|---|---|
| LBN Legal business name | Kack, Rod D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Feb 6th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629123815 | NPPES |
| Idaho | MEDICAID | 805168100 |
Popular Providers
-
Salem, Allen J
2442 E. 25Th St. , Idaho Falls ID 83404-0000 -
Detar, Thomas R
849 N Syringa St , Post Falls ID 83854-8794 -
Doble, H Peter
526 Shoup Ave W Ste M , Twin Falls ID 83301-5050 -
Andregg, Gary B
1593 E Polston Ave , Post Falls ID 83854-5326 -
Garcia, George M
2985 Cortez Ave , Idaho Falls ID 83404 -
Mogelson, Stanley
660 Shoshone St E Suite 110, Twin Falls ID 83301-6110 -
Nutting, Dawn Marie
562 Shoup Ave W , Twin Falls ID 83301-5029 -
Wright, Bryan D
1444 Falls Ave E , Twin Falls ID 83301-3408