MS. KIMBERLY E. DORNAN MACOM, LAC
NPI 1275587917
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Kimberly Dornan's NPI number?

The NPI number for Kimberly Dornan is 1275587917. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Kimberly Dornan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Dornan was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 19, 2006

535 GRISWOLD ST STE 111208, DETROIT, MI 48226(503) 449-6074 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ms. Kimberly E. Dornan Macom, Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY E. DORNAN MACOM, LAC (NPI 1275587917) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1275587917

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMS. KIMBERLY E. DORNANCredential: MACOM, LAC

Location Address535 GRISWOLD ST STE 111208Detroit, MI 48226-3604

Mailing Address535 Griswold St Ste 111208Detroit, MI 48226-3604

Phone(503) 449-6074

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateApril 24, 2025

NPPES CertifiedApril 24, 2025

✔ NPI 1275587917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

Also ListedAcupuncturistTaxonomy 171100000X · License AC00534 (OR)

535 GRISWOLD ST STE 111208, Detroit, MI 48226

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Dornan's NPI number?

The NPI number for Kimberly Dornan is 1275587917. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kimberly Dornan located?

Kimberly Dornan practices at 535 Griswold St Ste 111208, Detroit, MI 48226. The listed phone number is (503) 449-6074.

What is Kimberly Dornan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Dornan was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.