1992867907 NPI number — KEVIN C. KAMINSKI LIMHP/LMHP/CPC(LPC)/

Table of content: KEVIN C. KAMINSKI LIMHP/LMHP/CPC(LPC)/ (NPI 1992867907)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992867907 NPI number — KEVIN C. KAMINSKI LIMHP/LMHP/CPC(LPC)/

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAMINSKI
Provider First Name:
KEVIN
Provider Middle Name:
C.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LIMHP/LMHP/CPC(LPC)/
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992867907
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3300 N 60TH ST
Provider Second Line Business Mailing Address:
CATHOLIC CHARITIES
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68104-3402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-554-0520
Provider Business Mailing Address Fax Number:
402-551-8797

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3300 N 60TH ST
Provider Second Line Business Practice Location Address:
CATHOLIC CHARITIES
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68104-3402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-554-0520
Provider Business Practice Location Address Fax Number:
402-551-8797
Provider Enumeration Date:
12/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  2650 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 84081 . This is a "BC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10025085800 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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