Individual
MR. JAMES DAVID DORNEMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
4346 BOWLING BLVD, LOUISVILLE, KY 40207-5405
(570) 401-5090
Mailing address
4346 BOWLING BLVD, LOUISVILLE, KY 40207-5405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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