Real Life Skin
NPI #1235413485 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1235413485
- Entity Type
- Organization
- Organization Name
- Real Life Skin
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Oct 6, 2011
- Last Updated
- Oct 6, 2011
Practice Location
- Address
- 220 N VAN BUREN ST
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72205-3650
- Phone
- (501) 265-0100
Authorized Official
- Name
- MR. MICHAEL KACZKOWSKI
- Title
- PRESIDENT
- Phone
- (501) 265-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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