Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Dominick, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1659661742

Kelli Dominick, MD is a Pediatric Medicine in Cincinnati, Ohio. Graduated from Boston University School of Medicine in 2011, 15 years ago. Practices with Children's Hospital Medical Center, a 716-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Trained at
Boston University School of Medicine
Licensed in
OH
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3333 Burnet Ave Ml 3014
Cincinnati, OH 45229-3026
Phone: (513) 636-4788
Fax: (513) 636-4283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 35.126366 (OH)

Record details

NPI number1659661742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2011
Last updated in NPPESSeptember 27, 2016
Mailing address3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229-3026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Children'S Hospital Medical Center — 716 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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