Alloplastic Reconstruction
Alloplastic Reconstruction is an Ocularist in Memphis, Tennessee. Licensed in Arkansas. Registered with an NPI since 2014.
- Licensed in
- AR
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
6 W Ge Patterson Ave Ste 102Memphis, TN 38103-6413
Phone: (901) 410-5375
Fax: (800) 977-4149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anaplastologist (primary) | Taxonomy 229N00000X |
|---|---|
| Ocularist | Taxonomy 156FX1700X |
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X · Licence OPP00038 (AR) |
Record details
| NPI number | 1962805812 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Alloplastic Reconstruction |
| Authorized official | Michael Kaczkowski — President · (501) 265-0100 |
| Other names | The Center For Alloplastic Facial Reconstruction |
| NPI enumerated | October 7, 2014 |
| Last updated in NPPES | January 9, 2015 |
| Mailing address | 220 N. Van Buren, Little Rock, AR 72205 |
Other providers in Memphis
-
University of Tennessee
875 Union Ave Rooms S510B, Memphis, TN 38163-0001 · (901) 448-7196