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

Kylie Graw Dominick

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1578173167

Kylie Graw Dominick is an Electroneurodiagnostic Specialist/Technologist in Fort Colins, Colorado. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1025 Pennock Pl
Fort Colins, CO 80524
Phone: (970) 495-8800
Fax: (970) 495-8891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Electroneurodiagnostic Specialist/Technologist Taxonomy 246ZE0600X

Record details

NPI number1578173167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2020
Last updated in NPPESMay 11, 2026
Certification dateApril 10, 2025