Provider Demographics
NPI:1326325481
Name:KAMINSKAS, AUSRA
Entity Type:Individual
Prefix:
First Name:AUSRA
Middle Name:
Last Name:KAMINSKAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5705 NORTHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6737
Mailing Address - Country:US
Mailing Address - Phone:301-718-3628
Mailing Address - Fax:301-718-3628
Practice Address - Street 1:3000 CONNECTICUT AVE NW
Practice Address - Street 2:135
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2509
Practice Address - Country:US
Practice Address - Phone:202-332-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC30096171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist