NPI 1073661310

Gregory Stephen Kaczenski, MD

Practitioner Clinical Neuropsychologist Little Rock, AR

Practice location

Address: 801 Scott St, Little Rock, AR 72201-4613
Phone: (501) 221-7238
Fax: (501) 221-7239
Mailing address: 1433 Kavanaugh Blvd, Little Rock, AR 72205-4323

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence C-5000 (AR)

Other Clinical Neuropsychologist providers in Arkansas →

Registry record

NPI: 1073661310
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2007
Record last updated: 31 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.