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Individual

ALEXANDER SCOTT KACZENSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 851-7402
(501) 851-4753
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7800
(501) 812-7777

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-11141
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2016
Last updated
01/20/2021
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