Dominguez, Kenneth Lee
Dominguez, Kenneth Lee is an sole proprietor health care provider with primary practice located at 1229 Wildcliff Pkwy Ne , Atlanta GA 30329-3464. He recently has only one registered license in Other Service Providers / Research Study, which is considered as his primary health care specialty. Dominguez, Kenneth Lee can be contacted via phone (404) 323-3419.Contact Information
Primary practice address
1229 Wildcliff Pkwy Ne
Atlanta GA 30329-3464
Phone: (404) 323-3419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Research Study | 1744R1102X | G66887 | California |
Profile Details
| NPI number | 1982969937 |
|---|---|
| LBN Legal business name | Dominguez, Kenneth Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2012 |
| Last updated | Jul 5th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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