Kelly Dominski, APNP
Nurse Practitioner in West Allis, WI. Individual provider (NPI-1).
NPI number1083984868
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1083984868
- Entity type
- Individual (NPI-1)
- Name
- Kelly Dominski
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2012
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5166 | WI | Yes |
| 163W00000X | Registered Nurse | 170180-30 | WI |
Practice location
8901 W Lincoln AveWest Allis, WI 53227-2409
Phone 414-328-6000
Mailing address
8901 W Lincoln AveWest Allis, WI 53227-2409
Phone 414-328-6000
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All 54 Nurse Practitioner providers in West Allis · All 1,759 providers in West Allis
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