Carly Kaminke, PA-C

NPI #1548741945 in Bourbonnais, Illinois

Provider Information

NPI Number: 1548741945
Entity Type: Individual
Name: Carly Kaminke, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 23, 2018
Last Updated: Mar 22, 2021

Practice Location

Address: 400 RIVERSIDE DR STE 1600
City: Bourbonnais
State: Illinois
ZIP Code: 60914-5406
Phone: (815) 802-7090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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