Organization
GAZENKO AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE ROXALYN GAZENKO MD (OWNER)
(479) 705-2310
Entity
Organization
Contact information
Practice address
1007 W MAIN ST STE 2, CLARKSVILLE, AR 72830-3035
(479) 705-2310
(479) 705-2300
Mailing address
1007 W MAIN ST STE 2, CLARKSVILLE, AR 72830-3035
(479) 705-2310
(479) 705-2300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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