Dr. Kris A Homb, M.D.
Physical Medicine & Rehabilitation in Fond Du Lac, WI. Individual provider (NPI-1).
NPI number1366767006
StatusActive
Last updated in NPPESNov 16, 2020
Details
- NPI
- 1366767006
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kris A Homb
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2010
- Certification date
- Nov 16, 2020
- Last updated
- Nov 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 57003 | WI | Yes |
Practice location
421 Camelot DrFond Du Lac, WI 54935-8335
Phone 920-926-8571
Mailing address
420 E Division StFond Du Lac, WI 54935-4560
Phone 920-926-8571
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