Individual
DR. JEFF D KOHLBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 TOWNLINE RD, LAKE GENEVA, WI 53147-2502
(262) 483-9355
Mailing address
105 TOWNLINE RD, LAKE GENEVA, WI 53147-2502
(262) 483-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3718-012
WI
Other
Enumeration date
10/20/2006
Last updated
06/20/2011
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