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KENNETH PACANA BOC MD NPI 1295933125


NPI Information

NPI: 1295933125
Provider Name: KENNETH PACANA BOC, MD
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5325 FARAON ST.
ST. JOSEPH, MO
ZIP 64506
Phone: (816) 271-6406
Get Directions

Kenneth Pacana Boc, MD is a hospitalist in St. Joseph, MO with 17 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Kenneth Pacana Boc, MD NPI is 1295933125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5325 FARAON ST.
ST. JOSEPH, MO
ZIP 64506-488
Phone: (816) 271-6406
Fax: (816) 271-7986

The NPI 1295933125 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 3/31/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine9406850KANSASNo
2207R00000XInternal Medicine2015032515MISSOURINo
3208M00000XHospitalist2015032515MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01573175OTHERMISSOURIRR MEDICARE
2200654820CMEDICAIDKANSAS
3701000296MEDICARE PINMISSOURI
41295933125MEDICAIDMISSOURI
51295933125MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.