Organization
SHARI L. KAMINSKY, DPM, PC
Active
Other names
Archway podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
JODI BECKER (BILLING MANAGER)
(314) 355-0074
Entity
Organization
Contact information
Practice address
1224 GRAHAM RD, SUITE 3010, FLORISSANT, MO 63031-8028
(314) 355-0074
(314) 355-0337
Mailing address
1224 GRAHAM RD STE 3010, FLORISSANT, MO 63031-8028
(314) 355-0074
(314) 355-0337
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000648
MO
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480033460
MEDICARE RAILROAD
MO
05
—
500122700
—
MO
Enumeration date
07/26/2007
Last updated
08/27/2020
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