Kellie Lynn Dominessy, PA-C, MMS, ATC is a surgical physician assistant in Fort Lauderdale, FL with 14 years of experience. Kellie Lynn Dominessy, PA-C, MMS, ATC NPI is 1932403383. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2307 W BROWARD BLVD
STE 200
FORT LAUDERDALE, FL
ZIP 33312-417
Phone: (954) 792-1010
Fax: (954) 792-1199
The NPI 1932403383 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/28/2010 and was last updated on 3/28/2016.