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Mr. Michael Kaczkowski
Specialist in Little Rock, Arkansas
NPI 1417236860

Michael Kaczkowski is a Specialist based in Little Rock, AR. Michael Kaczkowski practices in Little Rock, AR. The NPI Number for Michael Kaczkowski is 1417236860 and holds a License No. (Arkansas).

The current practice location address for Michael Kaczkowski is 3924 W Markham St, Little Rock, AR and can be reached out via phone at 501-265-0100 and via fax at 501-265-0102. You can also correspond with Michael Kaczkowski through the mailing address at 3924 W MARKHAM ST, LITTLE ROCK, AR - 72205-5528 (mailing address contact number: 501-265-0100).

Location: 3924 W Markham St, Little Rock, AR, 72205-5528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417236860
Provider Name
Michael Kaczkowski
Credential
Provider Entity Type
Individual
Gender
Male
Address
3924 W Markham St, Little Rock, AR, 72205-5528
Phone Number
501-265-0100
Fax Number
501-265-0102
Provider Enumeration Date
08/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3924 W Markham St
City
Little Rock
State
Arkansas
Zip
72205
Phone Number
501-265-0100
Fax Number
501-265-0102
person
Provider Business Mailing Address Details
Address
3924 W Markham St
City
Little Rock
State
Arkansas
Zip
72205-5528
Phone Number
501-265-0100
Fax Number
501-265-0102
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
156FX1700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Anaplastologist
Speciality
-
Taxonomy
229N00000X
License No.
()
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
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