DR. KENNETH LEE DOMINGUEZ (NPI# 1982969937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982969937 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LEE DOMINGUEZ |
| Credential | MD |
| Practice Address |
1229 Wildcliff Pkwy Ne Atlanta GA 30329-3464 |
| Practice Telephone | 4043233419 |
| Mailing Telephone | 4043233419 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
G66887 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194365346 | Kenneth Dominguez | Chiropractor | 27933 State Highway 249, Tomball, TX 77375-6415 | 2020-01-15 |
| Street Address |
1229 WILDCLIFF PKWY NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649676156 | Aaron Tomer | Specialist | 2 Ivy Pkwy Ne, Atlanta, GA 30342-4241 | 2014-11-10 |
| 1437514031 | James Alec Ellison Jr. | Specialist | 1600 Clifton Rd Ne, Mailstop G33, Atlanta, GA 30329-4018 | 2015-12-23 |
| 1235296443 | Executive Health and Research Associates, Inc. | Specialist | 5505 Peachtree Dunwoody Rd Ne, Suite 650, Atlanta, GA 30342-1705 | 2007-01-03 |
| 1679682728 | Anna Marie Likos | Specialist | 1600 Clifton Rd Ne, Atlanta, GA 30329-4018 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134240484 | Jennifer Mae Hootman | Specialist | 3004 Windward Dr Nw, Kennesaw, GA 30152-4668 | 2007-04-03 |
| 1285153122 | Populations and Interventions Team Company (pitc) | Specialist | 3182 Berthas Overlook, Douglasville, GA 30135-8458 | 2017-09-12 |
| 1295003531 | Atlanta Vascular Research Foundation | Specialist | 3562 Habersham At Northlake, Building J, Tucker, GA 30084-4010 | 2011-12-01 |
| 1942578281 | Atlanta Clinical Research Center | Specialist | 3562 Habersham At Northlake, Building J, Tucker, GA 30084-4010 | 2011-12-01 |
| 1578552881 | Eleanor Geller Botha | Specialist | 2165 N Decatur Rd, Of Human Genetics/division of Medical Genetics, Decatur, GA 30033-5307 | 2005-10-19 |
Please comment or provide details below to improve the information on DR. KENNETH LEE DOMINGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.