Provider Demographics
NPI:1831084565
Name:XIONG, KAO HLEE (DC)
Entity type:Individual
Prefix:
First Name:KAO HLEE
Middle Name:
Last Name:XIONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4521 SCOTT TRL
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-2352
Mailing Address - Country:US
Mailing Address - Phone:715-212-7148
Mailing Address - Fax:
Practice Address - Street 1:4521 SCOTT TRL
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-2352
Practice Address - Country:US
Practice Address - Phone:715-212-7148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor