MEDICARE: DR. BRANDON KAMINSKI D.C.

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
1	111N00000X	Chiropractor	4344	NC

General Provider Information

NPI Number	:	1023452299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON KAMINSKI D.C.

Provider Business Mailing Address
First Line	:	12335 WAKE UNION CHURCH RD
Second Line	:	204
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-4527
Country	:	US
Telephone Number	:	919-404-9171
Fax Number	:

Provider Business Practice Location Address
First Line	:	12335 WAKE UNION CHURCH RD
Second Line	:	204
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-4527
Country	:	US
Telephone Number	:	919-404-9171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2013
Last Update Date	:	07/29/2014

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