Provider Demographics
NPI:1811500457
Name:KAMINSKI, NIKOLAS SCOTT (NREMT)
Entity type:Individual
Prefix:
First Name:NIKOLAS
Middle Name:SCOTT
Last Name:KAMINSKI
Suffix:
Gender:M
Credentials:NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5184 WATTERS RD
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-8701
Mailing Address - Country:US
Mailing Address - Phone:724-681-9827
Mailing Address - Fax:
Practice Address - Street 1:5184 WATTERS RD
Practice Address - Street 2:
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-8701
Practice Address - Country:US
Practice Address - Phone:724-681-9827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer