Most Relevant Information
Provider Data
| NPI Number: | 1003400433 |
| Provider Name: | CHRISTINA KACZOR LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 282443 |
Most Important Dates
| Enumeration Date: | 02/25/2021 |
| Last Updated: | 02/25/2021 |
Provider Practice Location
5200 BUNNY TRL
KILLEEN
TX
765496930
Practice Location Phone/Fax
| Phone: | 2545538110 |
| Fax: | 2545538111 |
Provider Mailing Location
36065 SANTA FE AVE
FORT HOOD
TX
765445060
Provider Mailing Phone/Fax
| Phone: | 7196407353 |
| Fax: |