Individual
MARIAH KRIWIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 858-3460
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 858-3460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-45022
KS
207Q00000X
Family Medicine Physician
94-09935
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004030024
PTAN
KS
05
—
30004649440002
—
KS
Enumeration date
06/20/2019
Last updated
03/12/2026
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