Dominick, Kelli

Dominick, Kelli is an sole proprietor health care provider with primary practice located at 712 S Cypress St , Vivian LA 71082-3206. She recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Dominick, Kelli can be contacted via phone (318) 375-2356.

Contact Information

Primary practice address
712 S Cypress St Vivian LA 71082-3206
Phone: (318) 375-2356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X DT05308 Texas
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 1270 Louisiana
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X DT05308 Texas
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1270 Louisiana
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT05308 Texas
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1270 Louisiana
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT05308 Texas
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 1270 Louisiana
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X DT05308 Texas
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 1270 Louisiana
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X DT05308 Texas
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 1270 Louisiana

Profile Details

NPI number 1346555703
LBN Legal business name Dominick, Kelli
Credentials M.ED., LD, RD, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2010
Last updated Aug 10th, 2010 - about 14 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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