KENNETH JOSEPH KACZKA

ST AUGUSTINE, FL
NPI1922730811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT38655)
Enumeration Date2022-06-29
Last Update Date2022-08-26
Business Address
KENNETH JOSEPH KACZKA DPT
105 MURABELLA PKWY STE 6
ST AUGUSTINE, FL 32092-4540
Phone number: 904-224-2666
Mailing Address
KENNETH JOSEPH KACZKA DPT
PO BOX 117345
ATLANTA, GA 30368-7345
Phone number: 904-346-3465
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