Individual
ERICKA KAY DOMALAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2694
(913) 676-6859
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2694
(913) 676-6859
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
04-38674
KS
207VX0000X
Obstetrics Physician
Primary
04-38674
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2010
Last updated
09/05/2025
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