MEDICARE: BRIAN J KAMINSKI MD

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	207P00000X	Emergency Medicine Physician	35084746	OH

General Provider Information

NPI Number	:	1750385100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN J KAMINSKI MD

Provider Business Mailing Address
First Line	:	400 PIKE ST APT 609
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-4216
Country	:	US
Telephone Number	:	415-999-3891
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 PIKE ST APT 609
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-4216
Country	:	US
Telephone Number	:	415-999-3891
Fax Number	:

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	09/25/2007

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