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Contact Information

MICHAEL J KAMINSKI, MD
14410 SE PETROVITSKY RD
STE 104
RENTON, WA98058-8900
 Phone: 425-690-3405
 Fax: 425-690-9405
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL J KAMINSKI · (Male)

NPI Number 1376571083
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 03/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00018335
  • WA Medicaid 1043930
  • WA Other G8891710 MEDICARE - VALLEY MEDICAL GROUP
Hospital affiliation(s)
  • VALLEY MEDICAL CENTER - (Acute Care)
    400 S 43RD ST
    RENTON, WA 98055
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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