Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly Sue Lake, DC

Individual provider Chiropractor · NPI 1376594713

Dr. Kimberly Sue Lake, DC is a Chiropractic in Bettendorf, Iowa. Qualified in 2006, 20 years ago. Practices with Kaminski Pain and Performance Care, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
20
Licensed in
IA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2525 Kimberly Rd Ste #1
Bettendorf, IA 52722-3538
Phone: (563) 344-0777
Fax: (563) 344-0888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 06869 (IA)

Record details

NPI number1376594713
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Kaminski Pain And Performance Care,P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bettendorf