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Organization
LARISA KACHOWSKI, MD
Active
Organization
LARISA KACHOWSKI, MD
Active
Other names
Larisa Kachowski Family Medicine, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA KACHOWSKI MD (OWNER)
(501) 502-4071
Entity
Organization
Contact information
Practice address
1726 W 42D AVE, PINE BLUFF, AR 71603-7160
(501) 502-4071
Mailing address
3 STRATFORD LN, PINE BLUFF, AR 71603-7527
(501) 502-4071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023214574
NPPES
AR
Enumeration date
03/11/2019
Last updated
04/01/2019
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