National Provider Identifier
Kaitlyn S Domres, M.D.
Kaitlyn S Domres, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Tonawanda, NY and a listed phone number of (716) 835-9800.
Profile Overview
- NPI
- 1538546304
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 30, 2015
- Last Updated
- November 16, 2018
Practice Location
- 2465 Sheridan Dr
- Tonawanda, NY 14150-9407
Phone: (716) 835-9800
Mailing Address
- 4498 Main St Ste 23
- Buffalo, NY 14226-3826
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1538546304
- Entity Type
- Individual
- Last Name
- Domres
- First Name
- Kaitlyn
- Middle Name
- S
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Domres
- Provider Other First Name
- Kaitlyn
- Provider Other Middle Name
- Sue
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 4498 Main St Ste 23
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14226-3826
- Mailing Country
- US
- Mailing Phone
- (716) 961-9424
- Mailing Fax
- (716) 961-9950
- Practice Street Address
- 2465 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9407
- Practice Country
- US
- Practice Phone
- (716) 835-9800
- Enumeration Date
- April 30, 2015
- Last Updated
- November 16, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)