Basic Information
| Provider Information | |||||||||
| NPI: | 1528030541 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAMINSKY | ||||||||
| FirstName: | SEAN | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1321 MURFREESBORO RD | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153668890 | ||||||||
| FaxNumber: | 6153663379 | ||||||||
| Practice Location | |||||||||
| Address1: | 5651 FRIST BLVD | ||||||||
| Address2: | SUITE 500 | ||||||||
| City: | HERMITAGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158893340 | ||||||||
| FaxNumber: | 6158896087 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/03/2006 | ||||||||
| LastUpdateDate: | 08/28/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 34089 | TN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 3852879 | 05 | TN | MEDICAID | 3152625 | 01 | TN | BCBS | OTHER |