MEDICARE: PAUL ALAN 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	2301009966	MI

General Provider Information

NPI Number	:	1760735641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL ALAN KAMINSKI D.C.

Provider Business Mailing Address
First Line	:	4930 CASCADE RD SE STE A
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3884
Country	:	US
Telephone Number	:	616-288-5999
Fax Number	:

Provider Business Practice Location Address
First Line	:	4930 CASCADE RD SE STE A
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-3884
Country	:	US
Telephone Number	:	616-288-5999
Fax Number	:

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

Provider Enumeration Date	:	10/17/2012
Last Update Date	:	02/23/2026

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