DR. Kyle Timothy Kollbaum, D.C.

NPI #1992701056 in Ellsworth, Wisconsin

Provider Information

NPI Number: 1992701056
Entity Type: Individual
Name: DR. Kyle Timothy Kollbaum, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 23, 2005
Last Updated: Jan 22, 2013

Practice Location

Address: 430 N MAPLE ST
Address 2: STE 200
City: Ellsworth
State: Wisconsin
ZIP Code: 54011-9029
Phone: (715) 273-3175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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