Search › Louisiana › 133V00000X

Kelli Dominick, M.ED., LD, RD, CDE

NPI 1346555703 · on the registry since 2010 · sole proprietor

Practice

Address
712 S Cypress St
Vivian, LA 71082
Phone
(318) 375-2356

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133N00000X
133N00000X
133NN1002X
133NN1002X
133V00000X
133VN1004X
133VN1004X
133VN1005X
133VN1005X
133VN1006X
133VN1006X
Licence states on file
TX, LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana