Individual
JOSEPH EARL KACZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 749-3411
Mailing address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 749-3411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-165866
AL
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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