Individual
MR. KENT P ELLERBROEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 KING DR, WATERLOO, IA 50702-5959
(319) 235-6323
(319) 235-0249
Mailing address
541 KING DR, WATERLOO, IA 50702-5959
(319) 235-6323
(319) 235-0249
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20213
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169805
—
IA
Enumeration date
12/02/2005
Last updated
10/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us