Provider Demographics
NPI:1851579445
Name:KAMINSKI, LINDA (MS, RD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:MS, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26179 NOVI RD
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1140
Mailing Address - Country:US
Mailing Address - Phone:248-592-0875
Mailing Address - Fax:
Practice Address - Street 1:26179 NOVI RD
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1140
Practice Address - Country:US
Practice Address - Phone:248-592-0875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered