National Provider Identifier Database

KIMBERLY E DORNAN, MACOM, LAC – NPI #1275587917
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.


Contact Information

KIMBERLY E DORNAN, MACOM, LAC
535 GRISWOLD ST STE 111208
DETROIT, MI48226-3604
Phone: 503-449-6074
Fax:
Website:
Specialty Taxonomy Code
* Student in an Organized Health Care Education/Training Program 390200000X
Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for KIMBERLY E DORNAN

NPI Number 1275587917
Credentials MACOM, LAC
Entity Individual
Enumeration date 05/19/2006
Last updated 04/24/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • OR License #: AC00534
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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