IndividualActive
Anthony Kaczmarek, M.D.
NPI 1306803754 · Specialist · Rolla, MO
Provider details
- NPI number
- 1306803754
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 110031 (MO)
Practice location
1428 East 72highway
Rolla, MO 65401
Phone: (573) 364-1014
Fax: (573) 364-6872
Mailing address
1050 W 10th St
Rolla, MO 65401-2905
Registry dates
- Enumerated
- 2006-04-28
- Last updated
- 2026-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.