Individual
DR. MAREK J KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
15 E 11TH ST, LIBERAL, KS 67901-2720
(620) 624-9100
(620) 624-9107
Mailing address
PO BOX 1215, LIBERAL, KS 67905-1215
(620) 629-6638
(620) 629-6684
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0427386
KS
207N00000X
Dermatology Physician
J0974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060689
BLUE CROSS BLUE SHIELD
KS
01
—
070015368
RAILROAD MEDICARE
KS
05
—
100309860C
—
KS
Enumeration date
09/14/2006
Last updated
04/14/2020
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