Individual
KELLY DOMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6000
Mailing address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
170180-30
WI
363L00000X
Nurse Practitioner
Primary
5166
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083984868
—
WI
Enumeration date
01/10/2012
Last updated
12/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us