Alloplastic Reconstruction
Alloplastic Reconstruction is an Ocularist in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.
- Licensed in
- AR
- In the registry since
- 2011
- Specialties on file
- 5
Practice location Address checks out
3924 W Markham StLittle Rock, AR 72205-5528
Phone: (501) 265-0100
Fax: (501) 265-0102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ocularist (primary) | Taxonomy 156FX1700X |
|---|---|
| Specialist | Taxonomy 174400000X |
| Anaplastologist | Taxonomy 229N00000X |
| Customized Equipment (DME) | Taxonomy 332BC3200X |
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X · Licence OPP00038 (AR) |
Record details
| NPI number | 1598049744 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Kaczkowski — President · (501) 265-0100 |
| NPI enumerated | October 6, 2011 |
| Last updated in NPPES | September 26, 2018 |
| Mailing address | 3924 W Markham St, Little Rock, AR 72205-5528 |
Other providers in Little Rock
-
Alloplastic Restoration Foundation, Inc
220 N Van Buren St, Little Rock, AR 72205-3650 · (501) 454-4945
-
Mr. Michael Kaczkowski
3924 W Markham St, Little Rock, AR 72205 · (501) 265-0100