| Kristine Domino, | |
|
2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 | |
| (505) 272-0322 | |
| (505) 272-2014 |
| Full Name | Kristine Domino |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2300 Menaul Blvd Ne, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124125893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2739 (New Mexico) | Primary |
| Provider Name | Unm Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Domino, 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 Ph: (505) 272-3120 | Kristine Domino, 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 Ph: (505) 272-0322 |
Elizabeth Y Kam, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7801 Candelaria Rd Ne, Sandia Hs, Albuquerque, NM 87110 Phone: 505-294-1511 | |
Ms. Brittney Amber Martinez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10800 Comanche Rd Ne Apt 329, Albuquerque, NM 87111 Phone: 505-927-8291 Fax: 505-266-6306 | |
Breanna White, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9500 Montgomery Blvd Ne Ste 215, Albuquerque, NM 87111 Phone: 505-247-4224 | |
Tyler Brewer, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6811 Taylor Ranch Rd Nw, Albuquerque, NM 87120 Phone: 505-898-1492 | |
Leslie Guzman, SLP-CF Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6400 Uptown Blvd Ne, Suite 360w, Albuquerque, NM 87110 Phone: 505-855-9805 Fax: 505-848-9468 | |
Samantha Vance, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6400 Uptown Blvd Ne Ste 360, Albuquerque, NM 87110 Phone: 505-299-9010 | |
Marsha Grover, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 412 Alameda Blvd Nw, Alameda Es, Albuquerque, NM 87114 Phone: 505-898-0070 |