Doctor Name: | DR. BARBARA F KACZMARSKA |
NPI Number: | 1053318923 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD28127 |
Business Practice Address: | 880 Colloredo Blvd Shelbyville, TN - 371602774 |
Business Phone Number: | 9316858111 |
Business Fax Number: | 9316801050 |
Mailing Address: | 880 Colloredo Blvd, SHELBYVILLE |
State: | TN |
Postal Code: | 371602774 |
Phone Number: | 9316858111 |
Fax Number: | 9316801050 |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | MD28127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |