MRS. KATHLEEN KANG DOMM M.D.
NPI 1679614762
Pediatrics in Charleston, SC

Q: What is Kathleen Domm's NPI number?

The NPI number for Kathleen Domm is 1679614762. It was assigned to this individual provider in the NPPES registry on February 9, 2007. The provider is also known as Miss Kathleen Kang.

Q: What is Kathleen Domm's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Domm was last updated on August 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 09, 2007

2051 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 573-2535(843) 573-2534 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kathleen Kang Domm M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATHLEEN KANG DOMM M.D. (NPI 1679614762) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (30181) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1679614762

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. KATHLEEN KANG DOMMCredential: M.D.

Location Address2051 CHARLIE HALL BLVDCharleston, SC 29414-5834

Mailing Address2051 Charlie Hall BlvdCharleston, SC 29414-5834 · (843) 573-2535 · Fax (843) 573-2534

Phone(843) 573-2535

Fax(843) 573-2534

Sole ProprietorNo

Enumeration DateFebruary 9, 2007

Last NPPES UpdateAugust 19, 2013

✔ NPI 1679614762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in SC · 30181✔ Licensed in CA · A86527

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2051 CHARLIE HALL BLVD, Charleston, SC 29414

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Other Names 1

Former Name (1)Miss Kathleen Kang

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANKLIN CARVER LEE M.D.

Pediatrics