Healthcare Provider Details

I. General information

NPI: 1205563954
Provider Name (Legal Business Name): ALEXANDRIA K KAMINSKY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 OLD DES PERES RD
SAINT LOUIS MO
63131-1865
US

IV. Provider business mailing address

4544 POST OAK PLACE DR STE 380
HOUSTON TX
77027-3118
US

V. Phone/Fax

Practice location:
  • Phone: 314-729-0077
  • Fax:
Mailing address:
  • Phone: 713-255-0035
  • Fax: 713-255-0039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number432
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2026000947
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: