Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 06915 | IA |
NPI | 1295828226 |
---|---|
Provider Name | Dr. Kathleen Marie Kaminski |
First Address | Leclaire, IA 52753-9302 |
Second Address | Bettendorf, IA 52722-3538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |