Doman, Kathleen A

Doman, Kathleen A is an individual health care provider with primary practice located at 8401 University Exec Park Dr Ste 123 , Charlotte NC 28262-1358. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Doman, Kathleen A can be contacted via phone (704) 503-4400.

Contact Information

Primary practice address
8401 University Exec Park Dr Ste 123 Charlotte NC 28262-1358
Phone: (704) 503-4400
Fax: (704) 503-4030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 39726 North Carolina
Other Service Providers / Specialist 174400000X 39726 North Carolina

Profile Details

NPI number 1396708269
LBN Legal business name Doman, Kathleen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396708269 NPPES
North Carolina MEDICAID 7928814

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