Provider Demographics
NPI:1033821525
Name:GERBER, KAL (DC)
Entity type:Individual
Prefix:DR
First Name:KAL
Middle Name:
Last Name:GERBER
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:PO BOX 579
Mailing Address - Street 2:
Mailing Address - City:SAINT CROIX FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54024-0579
Mailing Address - Country:US
Mailing Address - Phone:715-483-3913
Mailing Address - Fax:715-483-3098
Practice Address - Street 1:144 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:SAINT CROIX FALLS
Practice Address - State:WI
Practice Address - Zip Code:54024-9176
Practice Address - Country:US
Practice Address - Phone:715-483-3913
Practice Address - Fax:715-483-3098
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6034-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor