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

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4077-012 (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.

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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.