Provider Demographics
NPI:1841543329
Name:REEVES, KRISTOPHER WAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:WAYNE
Last Name:REEVES
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 1:10523 WESER LN
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4624
Mailing Address - Country:US
Mailing Address - Phone:830-353-1770
Mailing Address - Fax:
Practice Address - Street 1:133 W WATER ST
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5243
Practice Address - Country:US
Practice Address - Phone:830-896-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-20
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12189111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor