Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH ANDREW KACZMAREK, PBT-ASCP
Active Sole ProprietorMR. KENNETH ANDREW KACZMAREK, PBT-ASCP is a Specialist healthcare provider located in SPRING GROVE, Illinois. NPI 1033368493 is currently active in the NPPES registry. Verify at CMS.
Specialist · SPRING GROVE, IL
Registration Details
- NPI Number
- 1033368493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2008 (17.78300835886 yrs)
- Last Updated
- Sep 10, 2008
- License
-
04172088-ASCP (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
38463 NORTH 9TH STREETSPRING GROVE, IL, 600819017Browse IL providers · Browse ZIP 60081
- Phone
- 8479732188
- Fax
- 8479732644
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SPRING GROVE, IL
| Name | Credential | NPI |
|---|---|---|
| MS. CATHY LYNN MCCOY | L.M.T. | 1053331744 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.