Individual provider · Type 1 NPI

Kimberly Sue Lake, DC

Chiropractor · Bettendorf, IA

NPI number 1376594713 Active

Practice location

2525 Kimberly Rd, Ste #1
Bettendorf, IA 52722-3538

Fax (563) 344-0888

Mailing address

4626 Progress Dr Ste D
Davenport, IA 52807-3485

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X06869 (IA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1376594713

Kimberly Sue Lake, DC's National Provider Identifier is 1376594713, issued on May 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bettendorf, IA. The record was last updated on Jan 23, 2025.