person
Kathy L Domiano, FNP
Primary Care Nurse Practitioner in Ava, Missouri
NPI 1265627970

Kathy L Domiano is a Primary Care Nurse Practitioner based in Ava, MO and is specialized in Primary Care. Kathy L Domiano practices in Ava, MO and has the professional credentials of FNP. The NPI Number for Kathy L Domiano is 1265627970 and holds a License No. 154500 (Missouri).

The current practice location address for Kathy L Domiano is 504 Nw 10Th Ave, Ava, MO and can be reached out via phone at 417-683-4831 and via fax at 417-683-1602.

Location: 504 Nw 10Th Ave, Ava, MO, 65608
person
Provider Profile Details
NPI Number
1265627970
Provider Name
Kathy L Domiano
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
504 Nw 10Th Ave, Ava, MO, 65608
Phone Number
417-683-4831
Fax Number
417-683-1602
Provider Enumeration Date
09/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 Nw 10Th Ave
City
Ava
State
Zip
65608
Phone Number
417-683-4831
Fax Number
417-683-1602
person
Provider Business Mailing Address Details
Address
504 Nw 10Th Ave
City
Ava
State
Zip
65608
Phone Number
417-683-4831
Fax Number
417-683-1602
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
154500 (Missouri)
Definition
Definition to come...
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