Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 01978 | MD |
NPI | 1255335683 |
---|---|
Provider Name | Dr. David Mark Kaminsky |
First Address | Silver Spring, MD 20910-4499 |
Second Address | Silver Spring, MD 20910-4499 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F923-0001 | BLUECROSS BLUESHIELD (01) | DC |
KBW2 | BLUECROSS BLUESHIELD (01) | MD |