Provider Demographics
NPI:1497974398
Name:DOORLY, KIMBERLEE FALKENHAGEN (DC)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLEE
Middle Name:FALKENHAGEN
Last Name:DOORLY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 CEANOTHUS PL
Mailing Address - Street 2:UNIT H
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-2980
Mailing Address - Country:US
Mailing Address - Phone:818-687-2893
Mailing Address - Fax:
Practice Address - Street 1:5348 TOPANGA CANYON BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1739
Practice Address - Country:US
Practice Address - Phone:818-883-5882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30516111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor