Individual
KATHLYNN MICHELLE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
777 BANNOCK STREET, 4TH FLOOR, DEPT OF EMERGENCY MEDICINE, DENVER, CO 80204-4507
(303) 436-7142
Mailing address
777 BANNOCK STREET, 4TH FLOOR, DEPT OF EMERGENCY MEDICINE, DENVER, CO 80204-4507
(303) 436-7142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TL-4121
CO
Other
Enumeration date
04/22/2011
Last updated
04/03/2012
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