Individual
DR. KEVIN P RIEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3409
(316) 634-3634
Mailing address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3409
(316) 634-3634
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-23692
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317980B
—
KS
05
—
100317980C
—
KS
01
—
BB7812
RAILROAD MEDICARE
KS
Enumeration date
07/14/2006
Last updated
04/12/2010
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