Kyle Timothy Kollbaum, D.C.

Chiropractor · Ellsworth, WI

Individual Active NPI

NPI number 1992701056

Practice location

430 N Maple St
Ste 200
Ellsworth, WI 54011-9029
Phone
(715) 273-3175
Fax
(715) 273-3427

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NPI record

NPI
1992701056
Entity type
Individual (Type 1)
Enumeration date
June 23, 2005
Last updated
January 22, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 4077-012 WI

Mailing address

W4083 490TH Ave
Ellsworth, WI 54011-5823
Phone
(715) 273-5901
Fax
(715) 273-3427

About Dr. Kollbaum

Kyle Timothy Kollbaum, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 430 N Maple St, Ste 200, Ellsworth, WI 54011-9029. The NPI number 1992701056 was assigned on June 23, 2005 and the record was last updated on January 22, 2013.

Dr. Kollbaum lists a license in the registry: #4077-012 (WI) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle Timothy Kollbaum, D.C.?

The NPI number is 1992701056.

What is the phone number of Dr. Kollbaum?

The phone number listed for the practice location is (715) 273-3175.

Where is Dr. Kollbaum located?

430 N Maple St, Ste 200, Ellsworth, WI 54011-9029.

What is the taxonomy code for Dr. Kollbaum?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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