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Dr. Kyle Timothy Kollbaum, DC
Chiropractor in Ellsworth, Wisconsin
NPI 1992701056

Kyle Timothy Kollbaum is a Chiropractor based in Ellsworth, WI. Kyle Timothy Kollbaum practices in Ellsworth, WI and has the professional credentials of DC. The NPI Number for Kyle Timothy Kollbaum is 1992701056 and holds a License No. 4077-012 (Wisconsin).

The current practice location address for Kyle Timothy Kollbaum is 430 N Maple St, Ellsworth, WI and can be reached out via phone at 715-273-3175 and via fax at 715-273-3427.

Location: 430 N Maple St, Ellsworth, WI, 54011-5823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992701056
Provider Name
Kyle Timothy Kollbaum
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
430 N Maple St, Ellsworth, WI, 54011-5823
Phone Number
715-273-3175
Fax Number
715-273-3427
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38958400 05 WI
412011981012 01 WI BLUE CROSS BLUE SHIELD
49D87KO 01 MN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
430 N Maple St
City
Ellsworth
State
Wisconsin
Zip
54011-9029
Phone Number
715-273-3175
Fax Number
715-273-3427
person
Provider Business Mailing Address Details
Address
430 N Maple St
City
Ellsworth
State
Wisconsin
Zip
54011-9029
Phone Number
715-273-3175
Fax Number
715-273-3427
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4077-012 (Wisconsin)
Definition
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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