Individual
KEVIN EDWARD KRIEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(228) 376-0576
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01088322A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01088322A
IN
Other
Enumeration date
03/01/2021
Last updated
01/21/2026
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