OrganizationActive
Alloplastic Reconstruction
NPI 1962805812 · Anaplastologist · Memphis, TN
Provider details
- NPI number
- 1962805812
- Entity type
- Organization
- Primary specialty
- AnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Alloplastic Reconstruction
- Authorized official
- Michael Kaczkowski, President
Practice location
6 W Ge Patterson Ave
Suite 102
Memphis, TN 38103-6413
Phone: (901) 410-5375
Fax: (800) 977-4149
Mailing address
220 N. Van Buren
Little Rock, AR 72205
Registry dates
- Enumerated
- 2014-10-07
- Last updated
- 2015-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.