Individual
DR. ROBERTO ALFONSO DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 AVENUE OF CHAMPIONS, NICHOLASVILLE, KY 40356-9721
(859) 296-4121
(859) 296-1064
Mailing address
40 AVENUE OF CHAMPIONS, NICHOLASVILLE, KY 40356-9721
(859) 296-4121
(859) 296-1064
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18054
KY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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