Gloria, Kristina Dominguez
Gloria, Kristina Dominguez is an individual health care provider with primary practice located at 9605 Sandifur Parkway Kadlec Clinic - Pasco Primary Care, Pasco WA 99301. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gloria, Kristina Dominguez can be contacted via phone (509) 942-3170.Contact Information
Primary practice address
9605 Sandifur Parkway Kadlec Clinic - Pasco Primary Care
Pasco WA 99301
Phone: (509) 942-3170
Fax: (509) 543-9795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60403068 | Washington |
Profile Details
| NPI number | 1598955023 |
|---|---|
| LBN Legal business name | Gloria, Kristina Dominguez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2007 |
| Last updated | May 20th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598955023 | NPPES |
| Washington | MEDICAID | 1598955023 |
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