Provider Demographics
NPI:1932134780
Name:KAMINSKI, NANCY K (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:K
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 DANA AVENUE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207
Mailing Address - Country:US
Mailing Address - Phone:513-351-1200
Mailing Address - Fax:513-351-1580
Practice Address - Street 1:2135 DANA AVE SUITE 210
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207
Practice Address - Country:US
Practice Address - Phone:513-351-1200
Practice Address - Fax:513-351-1580
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35055904207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5590402OtherHUMANA
OH000000015482OtherANTHEM
OH0420583OtherUHC
OH000000015482OtherANTHEM
OHD98051Medicare UPIN
OHKA0631801Medicare ID - Type UnspecifiedMEDICARE ID #