Individual
KAITLIN PAIGE DOMEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6465 S YALE AVE STE 615, TULSA, OK 74136-7808
(918) 794-4788
(918) 794-4789
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
38360
OK
Other
Enumeration date
04/10/2015
Last updated
01/19/2026
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