Healthcare Provider Details

I. General information

NPI: 1447081922
Provider Name (Legal Business Name): JULIE D KAMINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 SMITH ST UNIT 301
CHARLESTON SC
29401-1895
US

IV. Provider business mailing address

31 SMITH ST UNIT 301
CHARLESTON SC
29401-1895
US

V. Phone/Fax

Practice location:
  • Phone: 908-303-6614
  • Fax:
Mailing address:
  • Phone: 908-303-6614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number525932638
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: