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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0902	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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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Directions to “ DR. KRISTI M KAMINSKY D.P.M.” Practice Location

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