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
—
—
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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