MR. MICHAEL KACZKOWSKI NPI 1417236860

NPI Information

NPI: 1417236860
Provider Name: MR. MICHAEL KACZKOWSKI
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3924 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 265-0100
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MR. Michael Kaczkowski is a specialist in Little Rock, AR. The provider is 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. MR. Michael Kaczkowski NPI is 1417236860. 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:

3924 W MARKHAM ST
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 265-0100
Fax: (501) 265-0102

The enumeration date for this NPI number is 8/16/2011 and was last updated on 9/19/2018.

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	Primary
1	156FX1700X	Technician/Technologist	Ocularist	No
2	229N00000X	Anaplastologist		No
3	174400000X	Specialist		Yes

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: 4/28/2024

NPI Synchronization or Removal

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