Provider Demographics
NPI:1760603492
Name:KAMINSKI, SUZANNE BUKREY (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:BUKREY
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:SUZANNE
Other - Middle Name:LOUISE
Other - Last Name:BUKREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2304 WESVILL CT
Mailing Address - Street 2:SUITE 210
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-0058
Mailing Address - Country:US
Mailing Address - Phone:919-782-6700
Mailing Address - Fax:919-782-2218
Practice Address - Street 1:2304 WESVILL CT
Practice Address - Street 2:SUITE 210
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-0058
Practice Address - Country:US
Practice Address - Phone:919-782-6700
Practice Address - Fax:919-782-2218
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01471207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology