MS. Kimberly E. Dornan, MACOM, LAC

NPI #1275587917 in Detroit, Michigan

Provider Information

NPI Number: 1275587917
Entity Type: Individual
Name: MS. Kimberly E. Dornan, MACOM, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MACOM, LAC
Enumeration Date: May 19, 2006
Last Updated: Apr 24, 2025

Practice Location

Address: 535 GRISWOLD ST STE 111208
City: Detroit
State: Michigan
ZIP Code: 48226-3604
Phone: (503) 449-6074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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