Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENT P ELLERBROEK, MD
Active Sole ProprietorMR. KENT P ELLERBROEK, MD is a Dermatology healthcare provider located in WATERLOO, Iowa. NPI 1104800192 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WATERLOO, IA
Registration Details
- NPI Number
- 1104800192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2005 (20.715077161135 yrs)
- Last Updated
- Oct 14, 2008
- License
-
20213 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
541 KING DRWATERLOO, IA, 507025959Browse IA providers · Browse ZIP 50702
- Phone
- 3192356323
- Fax
- 3192350249
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in WATERLOO, IA
| Name | Credential | NPI |
|---|---|---|
| MR. BRYAN DAVID SANDS | DO | 1770548570 |
| JUSTIN CRAIG ELLERBROEK | M.D. | 1790981207 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.