Kellie L. Dominessy, PA-C, MMS, ATC
Surgical PA · Fort Lauderdale, FL
UnclaimedPA-C, MMS, ATCNPI 1932403383
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2010-12-28
- Practice location
- Fort Lauderdale, FL
- Last NPPES update
- 2016-03-28
State licenses
- FL · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.