Provider Demographics
NPI:1720219843
Name:KAMINENI, SRINATH (MD)
Entity Type:Individual
Prefix:
First Name:SRINATH
Middle Name:
Last Name:KAMINENI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:740 S LIMESTONE
Mailing Address - Street 2:SUITE K401
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-218-3057
Mailing Address - Fax:859-323-2412
Practice Address - Street 1:740 S LIMESTONE
Practice Address - Street 2:SUITE K401
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-218-3057
Practice Address - Fax:859-323-2412
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KYFL027207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery