Individual
VERNON HOWARD KACZMARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3459 S 152ND ST, TUKWILA, WA 98188-2176
(206) 241-2225
(206) 241-5562
Mailing address
3459 S 152ND ST, TUKWILA, WA 98188-2176
(206) 241-2225
(206) 241-5562
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014876
—
WA
01
—
50538
LABOR & INDUSTRIES
WA
01
—
KA0067
REGENCE
WA
Enumeration date
02/08/2007
Last updated
09/09/2010
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