Domiano, Kathy L

Domiano, Kathy L is an individual health care provider with primary practice located at 504 Nw 10Th Ave , Ava MO 65608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Domiano, Kathy L can be contacted via phone (417) 683-4831.

Contact Information

Primary practice address
504 Nw 10Th Ave Ava MO 65608
Phone: (417) 683-4831
Fax: (417) 683-1602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 154500 Missouri

Profile Details

NPI number 1265627970
LBN Legal business name Domiano, Kathy L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Mar 6th, 2008 - about 16 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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