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REAL LIFE SKIN
NPI 1235413485
Durable Medical Equipment & Medical Supplies - Customized Equipment in Little Rock, AR

Active since October 06, 2011
220 N VAN BUREN ST, LITTLE ROCK, AR 72205(501) 265-0100(501) 265-0102 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment

About REAL LIFE SKIN

This page provides the complete NPI Profile along with additional information for Real Life Skin, a provider established in Little Rock, Arkansas operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1235413485 assigned on October 2011. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Michael Kaczkowski (President)

NPI
1235413485 Verify this NPI
Provider Name
REAL LIFE SKIN
Entity Type
Organization
Location Address
220 N VAN BUREN ST LITTLE ROCK, AR 72205
Location Phone
(501) 265-0100
Location Fax
(501) 265-0102
Mailing Address
P O BOX 56182 LITTLE ROCK, AR 72215
Mailing Phone
(501) 265-0100
Mailing Fax
(501) 265-0102
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2011
Last Update Date
10-06-2011
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL KACZKOWSKI

Authorized Official Title
PRESIDENT
Authorized Official Phone
(501) 265-0100

Reviews for REAL LIFE SKIN

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

L DANIEL EATON
Specialist
220 N VAN BUREN ST
LITTLE ROCK, AR 72205
Pulaski County (501) 265-0100
ALLOPLASTIC RESTORATION FOUNDATION, INC.
Technician/Technologist (Ocularist)
220 N VAN BUREN ST
LITTLE ROCK, AR 72205
Pulaski County (501) 454-4945
CENTRAL ARKANSAS LASIK
Ophthalmology
220 N VAN BUREN ST
LITTLE ROCK, AR 72205
Pulaski County (501) 712-5200

Frequently Asked Questions

What is REAL LIFE SKIN's NPI number?

The NPI number assigned to this healthcare provider is 1235413485, enumerated as an "organization" on October 06, 2011.

Where is the provider located?

The provider is located at 220 N VAN BUREN ST LITTLE ROCK, AR 72205 and the phone number is (501) 265-0100.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.