Individual
BETH A KAMINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-087980
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35-087980
OH
2080P0205X
Pediatric Endocrinology Physician
Primary
35-087980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221081
UNISON
OH
01
—
000000526033
ANTHEM
OH
01
—
1018331380001
PA MEDICAID
PA
05
—
2687043
—
OH
01
—
363680
WELLCARE
OH
01
—
750677
BUCKEYE
OH
01
—
7645784
AETNA
OH
Enumeration date
07/10/2006
Last updated
01/19/2011
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