Individual
MR. MICHAEL KACZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3924 W MARKHAM ST, LITTLE ROCK, AR 72205
(501) 265-0100
(501) 265-0102
Mailing address
3924 W MARKHAM ST, LITTLE ROCK, AR 72205-5528
(501) 265-0100
(501) 265-0102
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
174400000X
Specialist
Primary
—
—
229N00000X
Anaplastologist
—
—
Other
Enumeration date
08/16/2011
Last updated
09/19/2018
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