Individual
KENNETH MOMPARLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4856 INNOVATION DR, FORT COLLINS, CO 80525-5539
(813) 453-9491
Mailing address
5933 SHELL RIDGE DR, LITHIA, FL 33547-4092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9599515
FL
Other
Enumeration date
09/19/2025
Last updated
10/13/2025
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