Provider Demographics
NPI:1215644828
Name:KAMINSKI, NICOLE HOPE
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:HOPE
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 FIELDCREST DR
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-1979
Mailing Address - Country:US
Mailing Address - Phone:815-980-0493
Mailing Address - Fax:
Practice Address - Street 1:301 FIELDCREST DR
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-1979
Practice Address - Country:US
Practice Address - Phone:815-980-0493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach