Individual
KEVIN LOUIS KRUMVIEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1730 1ST AVE NE, CEDAR RAPIDS, IA 52402-5433
(319) 365-3993
(319) 364-0116
Mailing address
PO BOX 1408, CEDAR RAPIDS, IA 52406-1408
(319) 365-3993
(319) 364-0116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00783
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12920
MIDLANDS CHOICE
IA
01
—
42-0926783-14
UNITED BEHAVIORAL HEALTH
IA
Enumeration date
11/16/2005
Last updated
01/03/2018
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