Provider Demographics
NPI:1811791759
Name:KRUMWIEDE, KHLOE ALLISON (DC)
Entity type:Individual
Prefix:
First Name:KHLOE
Middle Name:ALLISON
Last Name:KRUMWIEDE
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7624 TECOMA CIR APT 1301
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-0022
Mailing Address - Country:US
Mailing Address - Phone:406-230-2505
Mailing Address - Fax:
Practice Address - Street 1:5656 BEE CAVES RD STE C102
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5281
Practice Address - Country:US
Practice Address - Phone:512-359-9636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor