Organization
INTERWELL HEALTH MEDICAL PRACTICE OF KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE DOMINGUEZ MD (PRESIDENT)
(833) 644-8244
Entity
Organization
Contact information
Practice address
68 HARRISON AVE STE 39516, BOSTON, MA 02111
(833) 664-8244
Mailing address
68 HARRISON AVE STE 605 PMB 39516, BOSTON, MA 02111
(833) 664-8244
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
01/28/2025
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