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Contact Information

KIMBERLY E DORNAN, MACOM, LAC
535 GRISWOLD ST STE 111208
DETROIT, MI48226-3604
 Phone: 503-449-6074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student in an Organized Health Care Education/Training Program

390200000X
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for KIMBERLY E DORNAN · (Female)

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
  • OR License # AC00534
Hospital affiliation(s) Not Available
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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