Gloria, Kristina Dominguez

Gloria, Kristina Dominguez is an individual health care provider with primary practice located at 9605 Sandifur Parkway Kadlec Clinic - Pasco Primary Care, Pasco WA 99301. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gloria, Kristina Dominguez can be contacted via phone (509) 942-3170.

Contact Information

Primary practice address
9605 Sandifur Parkway Kadlec Clinic - Pasco Primary Care Pasco WA 99301
Phone: (509) 942-3170
Fax: (509) 543-9795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60403068 Washington

Profile Details

NPI number 1598955023
LBN Legal business name Gloria, Kristina Dominguez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated May 20th, 2021 - about 3 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 1598955023 NPPES
Washington MEDICAID 1598955023

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