Provider Demographics
NPI:1932297058
Name:LOMBARDY, KIM FREDRIC (DC)
Entity Type:Individual
Prefix:DR
First Name:KIM
Middle Name:FREDRIC
Last Name:LOMBARDY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 PLEASANT HOME RD STE F-2
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0518
Mailing Address - Country:US
Mailing Address - Phone:706-922-7746
Mailing Address - Fax:706-922-7747
Practice Address - Street 1:211 PLEASANT HOME RD STE F2
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-0558
Practice Address - Country:US
Practice Address - Phone:706-922-7746
Practice Address - Fax:706-922-7747
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001583111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor