MEDICARE: DR. SHARI LEWIS KAMINSKY DPM

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	000648	MO

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
2	431928131	OTHER		TAX ID

General Provider Information

NPI Number	:	1871599811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARI LEWIS KAMINSKY DPM

Provider Business Mailing Address
First Line	:	1224 GRAHAM RD
Second Line	:	SUITE 3010
City	:	FLORISSANT
State	:	MO
Zip	:	63031-8028
Country	:	US
Telephone Number	:	314-355-0074
Fax Number	:	314-355-0337

Provider Business Practice Location Address
First Line	:	1224 GRAHAM RD
Second Line	:	SUITE 3010
City	:	FLORISSANT
State	:	MO
Zip	:	63031-8028
Country	:	US
Telephone Number	:	314-355-0074
Fax Number	:	314-355-0337

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	08/27/2020

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