Kenneth Kaczka, DPT

NPI 1922730811 · on the registry since 2022 · sole proprietor

Practice

Address: 105 Murabella Pkwy Ste 6
St Augustine, FL 32092
Phone: (904) 224-2666
Fax: (904) 224-2667
Organisation at this address: Jacksonville Orthopaedic Institute Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-08-26

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 Florida