Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kent P Ellerbroek, MD

Individual provider Dermatology Physician · NPI 1104800192

Mr. Kent P Ellerbroek, MD is a Dermatology Physician in Waterloo, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

541 King Dr
Waterloo, IA 50702-5959
Phone: (319) 235-6323
Fax: (319) 235-0249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 20213 (IA)

Record details

NPI number1104800192
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 2, 2005
Last updated in NPPESOctober 14, 2008

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