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

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: July 19, 2026.

  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About KIMBERLY DORNAN

This page provides the complete NPI Profile along with additional information for Kimberly Dornan, a primary care provider established in Detroit, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1275587917 assigned on May 2006. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1275587917 Verify this NPI
Provider Name
MS. KIMBERLY E. DORNAN MACOM, LAC
Gender
Female
Entity Type
Individual
Location Address
535 GRISWOLD ST STE 111208 DETROIT, MI 48226
Location Phone
(503) 449-6074
Mailing Address
535 GRISWOLD ST STE 111208 DETROIT, MI 48226
Is Sole Proprietor?
No
Enumeration Date
05-19-2006
Last Update Date
04-24-2025
Code Navigator

A primary care provider (PCP) like Kimberly Dornan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171100000XOther Service Providers

Acupuncturist

AC00534 (OR)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275587917, enumerated as an "individual" on May 19, 2006.

The provider is located at 535 GRISWOLD ST STE 111208 DETROIT, MI 48226 and the phone number is (503) 449-6074.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.