Provider Demographics
NPI:1114715281
Name:DUNKIN, KIMBERLEY DANIELLE
Entity type:Individual
Prefix:MS
First Name:KIMBERLEY
Middle Name:DANIELLE
Last Name:DUNKIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 HURON AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3950
Mailing Address - Country:US
Mailing Address - Phone:810-488-6907
Mailing Address - Fax:
Practice Address - Street 1:208 HURON AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3950
Practice Address - Country:US
Practice Address - Phone:810-488-6907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula