| Doctor Name: | KRYSTAL KAMINSKI |
| NPI Number: | 1245672708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RN, CPNP-PC |
| License Number: | R219755-5 |
| Business Practice Address: | 14701 Victor Hugo Blvd N Hugo, MN - 550384561 |
| Business Phone Number: | 6514261141 |
| Business Fax Number: | |
| Mailing Address: | 14701 Victor Hugo Blvd N, HUGO |
| State: | MN |
| Postal Code: | 550384561 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2013 |
| NPI Last Update Date: | 12/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | R219755-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |