Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Missouri Urology Clinic, Inc

Organization Specialist · NPI 1710940630

Central Missouri Urology Clinic, Inc provides Specialist services in Rolla, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1428 E 72 Hwy
Rolla, MO 65401 Not confirmed with CMS for 16 years — call before visiting
Phone: (573) 364-1014
Fax: (573) 364-6872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 110031 (MO)

Record details

NPI number1710940630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Kaczmarek — President Urologist · (573) 364-1014
NPI enumeratedApril 11, 2006
Last updated in NPPESJune 29, 2010
Mailing address1428 East State Route 72, Rolla, MO 65401

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