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Search › Arkansas › 174400000X

Michael Kaczkowski

NPI 1417236860 · on the registry since 2011

Practice

Address
3924 W Markham St
Little Rock, AR 72205
Phone
(501) 265-0100
Fax
(501) 265-0102
Organisation at this address
Alloplastic Reconstruction
Alloplastic Facial Reconstruction
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 3924 W Markham St, Little Rock, AR
  • 3924 W Markham St, Little Rock, AR

Registry record

Primary taxonomy
174400000X
174400000X
Also registered as
156FX1700X
229N00000X
Sex
Male
Record last updated
2018-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas