Individual
MS. KATHLEEN A DOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8401 UNIVERSITY EXEC PARK DR STE 123, CHARLOTTE, NC 28262-1358
(704) 503-4400
(704) 503-4030
Mailing address
8401 UNIVERSITY EXEC PARK DR STE 123, CHARLOTTE, NC 28262-1358
(704) 503-4400
(704) 503-4030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39726
NC
207RN0300X
Nephrology Physician
39726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7928814
—
NC
Enumeration date
04/10/2006
Last updated
02/14/2023
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