NPI age
13 years
Enumerated 2012-07-05
● Active
Type 1 · Individual
DR. Kenneth Lee Dominguez, MD
Dominguez is 1 of 5 specialist providers in Atlanta and 1 of 14 in Georgia.
Primary specialty
Specialist
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-07-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 14 active specialist providers in Georgia.
NPI age
13 years
↑ 6 yr above median (6 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-07Enumerated in NPPES
2012
2026
Where they practice
Practice location
1229 Wildcliff Pkwy Ne
Atlanta, GA 303293464
Mailing address
1229 Wildcliff Pkwy Ne
Atlanta, GA 303293464
Specialties
-
Specialist PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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