DR. KIMBERLY SUE LAKE (NPI# 1376594713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376594713 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY SUE LAKE |
| Credential | D.C. |
| Practice Address |
2525 Kimberly Rd Ste #1 Bettendorf IA 52722-3538 |
| Practice Telephone | 5633440777 |
| Practice Fax Number | 5633440888 |
| Mailing Telephone | 5633440777 |
| Mailing Fax Number | 5633440888 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 06869 | IA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472277 | Kimberly Lake | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-10-01 |
| 1821532250 | Kimberly Jane Lake | Nurse Practitioner | 250 W 89th St, Apartment 11f, New York, NY 10024-1700 | 2016-12-03 |
| 1366773517 | Kimberly J Lake | Dentist | 3434 W Illinois Ave, Ste 307, Dallas, TX 75211-8709 | 2010-01-27 |
| 1629218656 | Kimberly Marie Lake | Behavioral Analyst | 215 E 95th St, 15f, New York, NY 10128-4077 | 2009-03-03 |
| Street Address |
2525 KIMBERLY RD STE #1 |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-3538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740838713 | Kyle Dirck | Chiropractor | 2525 Kimberly Rd, Bettendorf, IA 52722-3546 | 2019-09-03 |
| 1427101567 | Paul Ralph Black Jr. | Dentist | 2525 Kimberly Rd, Suite#3, Bettendorf, IA 52722-3538 | 2007-01-20 |
| 1134171184 | Robert Thomas Kaminski | Chiropractor | 2525 Kimberly Rd, Suite 1, Bettendorf, IA 52722-3538 | 2006-05-17 |
| 1255381828 | Kaminski Pain and Performance Care,p.c. | Chiropractor | 2525 Kimberly Rd, Suite 1, Bettendorf, IA 52722-3538 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203402 | Penny Lea Teshak Fullarton | Chiropractor | 4535 Bunker Hill Dr, Bettendorf, IA 52722-1760 | 2019-03-07 |
| 1841719283 | Allison Paige Fair | Chiropractor | 3359 Middle Rd Ste 1, Bettendorf, IA 52722-3402 | 2017-09-18 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1043768310 | Uncommon Chiropractic | Chiropractor | 2415 18th St Ste 107, Bettendorf, IA 52722-3281 | 2016-09-15 |
| 1730566720 | Abundant Health Chiropractic Plc | Chiropractor | 878 Middle Rd, Bettendorf, IA 52722-4101 | 2015-04-29 |
| 1750785564 | Joseph Woelfel | Chiropractor | 1900 State St Ste 2, Bettendorf, IA 52722-4968 | 2014-10-22 |
| 1154736973 | Luanne Wells | Chiropractor | 4915 Bobwhite Ct, Bettendorf, IA 52722-6278 | 2014-07-01 |
| 1558792861 | Hagen Clinic Pllc | Chiropractor | 2395 Tech Drive, Suite 3, Bettendorf, IA 52722-3277 | 2013-12-12 |
| 1285061499 | Howell Chiropractic Center LLC | Chiropractor | 2440 Tech Dr, Suite 3, Bettendorf, IA 52722-7004 | 2013-10-02 |
| 1144574302 | Julie Meyers Dc | Chiropractor | 3456 Holiday Ct, Bettendorf, IA 52722-3551 | 2012-11-08 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on DR. KIMBERLY SUE LAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.