MEDICARE: KENNETH A LOMBARDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	KL041234	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326114042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH A LOMBARDI MD

Provider Business Mailing Address
First Line	:	391 S SHORE DR
Second Line	:	SUITE 215
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5446
Country	:	US
Telephone Number	:	269-964-6262
Fax Number	:	269-964-2456

Provider Business Practice Location Address
First Line	:	391 S SHORE DR
Second Line	:	SUITE 215
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5446
Country	:	US
Telephone Number	:	269-964-6262
Fax Number	:	269-964-2456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	06/15/2010

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Directions to “ KENNETH A LOMBARDI MD” Practice Location

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