MR. Kenneth Andrew Kaczmarek, PBT-ASCP

NPI #1033368493 in Spring Grove, Illinois

Provider Information

NPI Number: 1033368493
Entity Type: Individual
Name: MR. Kenneth Andrew Kaczmarek, PBT-ASCP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PBT-ASCP
Enumeration Date: Sep 10, 2008
Last Updated: Sep 10, 2008

Practice Location

Address: 38463 NORTH 9TH STREET
City: Spring Grove
State: Illinois
ZIP Code: 60081-9017
Phone: (847) 973-2188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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