Provider Demographics
NPI:1174552210
Name:PALCZYNSKI, KAROL (MD)
Entity type:Individual
Prefix:
First Name:KAROL
Middle Name:
Last Name:PALCZYNSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MEDICAL PARK PL
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-8051
Mailing Address - Country:US
Mailing Address - Phone:501-321-9292
Mailing Address - Fax:501-623-5541
Practice Address - Street 1:130 MEDICAL PARK PL
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8051
Practice Address - Country:US
Practice Address - Phone:501-321-9292
Practice Address - Fax:501-623-5541
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4550207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR161682001Medicaid
ARI58617Medicare UPIN
AR161682001Medicaid