Boc, Kenneth Pacana

Boc, Kenneth Pacana is an sole proprietor health care provider with primary practice located at 5325 Faraon St. , St. Joseph MO 64506-3488. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Boc, Kenneth Pacana can be contacted via phone (816) 271-6406.

Contact Information

Primary practice address
5325 Faraon St. St. Joseph MO 64506-3488
Phone: (816) 271-6406
Fax: (816) 271-7986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9406850 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015032515 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2015032515 Missouri

Profile Details

NPI number 1295933125
LBN Legal business name Boc, Kenneth Pacana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Mar 31st, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295933125 NPPES
Iowa MEDICAID 1295933125
Iowa MEDICAID 1295933125
Iowa MEDICAID 200654820C
Iowa Other P01573175

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