Provider Demographics
NPI:1174951156
Name:XIONG, KHAM SING (DC)
Entity type:Individual
Prefix:DR
First Name:KHAM SING
Middle Name:
Last Name:XIONG
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 1:860 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-1172
Mailing Address - Country:US
Mailing Address - Phone:920-385-7251
Mailing Address - Fax:
Practice Address - Street 1:1052 WITZEL AVE
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54902-5720
Practice Address - Country:US
Practice Address - Phone:920-385-7251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4928-12111N00000X
MN5817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor