Individual provider · Type 1 NPI
Kyle Timothy Kollbaum, DC
Chiropractor · Ellsworth, WI
NPI number
1992701056
Active
Practice location
430 N Maple St, Ste 200
Ellsworth, WI 54011-9029
Fax (715) 273-3427
Mailing address
W4083 490th Ave
Ellsworth, WI 54011-5823
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4077-012 (WI) |
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.
Another provider at this address
Other chiropractor providers in Ellsworth
- Ronald Scott Nyeggen, DCChiropractor Ellsworth, WI NPI 1023181484
- Samantha K. Johnson, DCChiropractor Ellsworth, WI NPI 1124548201
- Gregory Winton Bernard, DCChiropractor Ellsworth, WI NPI 1578509790
- Kyle J. Cress, DCChiropractor Ellsworth, WI NPI 1710456173
- Gayle Ann Nissen, DCChiropractor Ellsworth, WI NPI 1801972898
About NPI 1992701056
Kyle Timothy Kollbaum, DC's National Provider Identifier is 1992701056, issued on Jun 23, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ellsworth, WI. The record was last updated on Jan 22, 2013.