Kaczenski, Gregory Stephen
Kaczenski, Gregory Stephen is an sole proprietor health care provider with primary practice located at 801 Scott St , Little Rock AR 72201-4613. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Kaczenski, Gregory Stephen can be contacted via phone (501) 221-7238.Contact Information
Primary practice address
801 Scott St
Little Rock AR 72201-4613
Phone: (501) 221-7238
Fax: (501) 221-7239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | C-5000 | Arkansas |
Profile Details
| NPI number | 1073661310 |
|---|---|
| LBN Legal business name | Kaczenski, Gregory Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Mar 31st, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073661310 | NPPES |
| Arkansas | MEDICAID | 104751001 |
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