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Kevin Edward Kriege

Internal Medicine

Allopathic & Osteopathic Physicians

1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN KRIEGE.

Based on the most recent information from CMS, provider Kevin Edward Kriege is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1649864729
Provider Type
Individual
Full Name
Kriege, Kevin Edward
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/1/2021
Last Updated
1/21/2026

Contact Information

Practice Location

1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638

(228) 376-0576

Unlisted Fax

Mailing Location

1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 01088322A Indiana

Kevin Edward Kriege

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sky, Karen Melanie

Colwell, Trevor

Rokeh, Krista Rc

Sabado, Raphael John Quinones

Umali-Corry, Finianne Jimenez

Owens, Makelle Louise

Bracero, Dominic

Barenberg, Kathryn Grace

Lybeck, Brandy Erin Ransom

Faulk, Jaclyn Stacy