Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Missouri Urology Clinic, Inc

Organization Specialist · NPI 1710940630

Central Missouri Urology Clinic, Inc is a Specialist in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1428 E 72 Hwy
Rolla, MO 65401
Phone: (573) 364-1014
Fax: (573) 364-6872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 110031 (MO)

Record details

NPI number1710940630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Kaczmarek — President Urologist · (573) 364-1014
NPI enumeratedApril 11, 2006
Last updated in NPPESJune 29, 2010
Mailing address1428 East State Route 72, Rolla, MO 65401

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