Kenneth D Womboldt Jr. (NPI# 1184923690, PAC ID# 0345412086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1184923690 |
| PAC ID by PECOS | 0345412086 |
| Professional Enrollment ID | I20130215000114 |
| Full Name | Kenneth D Womboldt Jr. |
| Address |
1721 N 2nd St Clinton IA 52732-2644 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2011 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1721 N 2nd St, Clinton, IA 52732-2644 |
| Street Address |
1721 N 2ND ST |
| City | CLINTON |
| State | IA |
| Zip | 52732-2644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan P Connell | Chiropractic | 1485 Main Ave, Clinton, IA 52732-1976 | |
| Donald G Flory | Family Practice | Medical Associates of Clinton Iowa Plc | 2400 Lillian Way, Clinton, IA 52732-2001 |
| Elliot M Galey | Family Medicine | Genesis Health System | 221 Main Ave, Clinton, IA 52732-2241 |
| Richard B Forrest | Chiropractic | Ruden- Forrest Chiropractic PC | 80 23rd Ave N, Clinton, IA 52732-2401 |
| Thea M Ruden | Chiropractic | Ruden- Forrest Chiropractic PC | 80 23rd Ave N, Clinton, IA 52732-2401 |
| Carl W Soderstrom Jr. | Dermatology | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Carissa L Pardekooper | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Joy M Watson | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Katherine E Shindelar | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Meriner M Pereira | Dermatology | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Find all physicians in zip 52732 | |||
| City | CLINTON |
| Zip Code | 52732 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CLINTON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kenneth D Womboldt Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.