Individual
DR. ANTHONY THOMAS KACZMAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1428 EAST 72HIGHWAY, ROLLA, MO 65401
(573) 364-1014
(573) 364-6872
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-1014
(573) 364-6872
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10031
MO
208800000X
Urology Physician
110031
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208305102
—
MO
Enumeration date
04/28/2006
Last updated
03/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us