Kennedy James Ringelberg | San Diego, CA • PECOS Search

Kennedy James Ringelberg

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400 (414) 699-8422

PECOS Enrollment

Based on the most recent information from CMS, provider Kennedy James Ringelberg does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1083206403
Provider Type
Individual
Full Name
Ringelberg, Kennedy James
Gender
Male

Sole Proprietor
No
Enumeration Date
2/8/2021
Last Updated
10/29/2025

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

Unlisted Fax

Mailing Location

26720 Denoon Rd, Wind Lake, WI 53185-1326

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 0101276267 Virginia