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NPI Code Detail

MEDICARE: DR. KRISTI M KAMINSKY D.P.M.

MEDICARE: DR. KRISTI M KAMINSKY D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist0902NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700823515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTI M KAMINSKY D.P.M.
Provider Business Mailing Address
First Line : 2435 FIRE MESA ST STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9009
Country : US
Telephone Number : 725-200-3242
Fax Number : 725-200-3244
Provider Business Practice Location Address
First Line : 2435 FIRE MESA ST STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128
Country : US
Telephone Number : 725-200-3242
Fax Number : 725-200-3244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 08/08/2018

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