NPI Profile for KIMBERLY E DORNAN in DETROIT, MI.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student in an Organized Health Care Education/Training Program |
390200000X | |||
Acupuncturist |
171100000X |
| NPI Number | 1275587917 |
|
| Status | Active | |
| Credentials | MACOM, LAC | |
| Entity | Individual | |
| Enumeration date | 05/19/2006 | |
| Last updated | 04/24/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KIMBERLY E DORNAN
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