Anthony A Kaczkowski, LAT

NPI #1194717637 in Milwaukee, Wisconsin

Provider Information

NPI Number
1194717637
Entity Type
Individual
Name
Anthony A Kaczkowski, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Aug 19, 2005
Last Updated
Sep 26, 2007

Practice Location

Address
625 E SAINT PAUL AVE
ZIP Code
53202-5907
Phone
(414) 223-2727

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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