Individual
CARLY KAYE DOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 LARRABEE AVE STE 100, BELLINGHAM, WA 98225-7341
(360) 685-1225
Mailing address
1100 LARRABEE AVE STE 100, BELLINGHAM, WA 98225-7341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/17/2018
Last updated
08/15/2024
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