Individual
JEFFREY S. KAMENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1907 BOISE AVE, LOVELAND, CO 80538-5016
(970) 682-3377
(970) 682-3340
Mailing address
5821 TILDEN ST, FORT COLLINS, CO 80528-5603
(970) 640-5367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003794
CO
363A00000X
Physician Assistant
PA9106076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127918A
—
GA
01
—
PA.0003794
MEDICAL LICENSE
CO
01
—
PA9106076
PA LICENSE
FL
Enumeration date
08/09/2011
Last updated
08/14/2023
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