Organization
KEVIN PAUL RIEG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PAUL RIEG M.D. (OWNER)
(316) 634-3409
Entity
Organization
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3409
(316) 634-3644
Mailing address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3409
(316) 634-3644
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0423692
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103664
BLUECROSS & BLUESHIELD
KS
Enumeration date
01/04/2007
Last updated
08/22/2020
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