Kelly Dominski, APNP
NPI #1083984868 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1083984868
- Entity Type
- Individual
- Name
- Kelly Dominski, APNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- APNP
- Enumeration Date
- Jan 10, 2012
- Last Updated
- Dec 1, 2021
Practice Location
- Address
- 8901 W LINCOLN AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2409
- Phone
- (414) 328-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner |
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