Individual
INNA KAMINECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8200
Mailing address
2206 WAYNE AVE, LUBBOCK, TX 79407-2228
(302) 332-5656
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
82332
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
T6922
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2016
Last updated
01/18/2023
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