Provider Demographics
NPI:1548889090
Name:KLIBANOFF-DOMBROWSKI, KAITLYN A (DO)
Entity type:Individual
Prefix:DR
First Name:KAITLYN
Middle Name:A
Last Name:KLIBANOFF-DOMBROWSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KAITLIN
Other - Middle Name:A
Other - Last Name:DOMBROWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:6 SHIPYARD DR STE 2A
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1667
Mailing Address - Country:US
Mailing Address - Phone:781-556-0200
Mailing Address - Fax:781-556-0201
Practice Address - Street 1:6 SHIPYARD DR STE 2A
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1667
Practice Address - Country:US
Practice Address - Phone:781-556-0200
Practice Address - Fax:781-556-0201
Is Sole Proprietor?:No
Enumeration Date:2020-04-14
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1014975207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist