Individual
JAMIE L KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6609 W GREENFIELD AVE, WEST ALLIS, WI 53214-4958
(414) 257-8577
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9898
WI
363LF0000X
Family Nurse Practitioner
9898-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134118
—
WI
Enumeration date
08/21/2020
Last updated
05/06/2024
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