DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KRISTEN LYN DEWILDE, M.D.

Active Sole Proprietor

DR. KRISTEN LYN DEWILDE, M.D. is a Family Medicine healthcare provider located in JBSA LACKLAND, Texas. NPI 1306073911 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JBSA LACKLAND, TX

Registration Details

NPI Number
1306073911
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2009 (17.142928570214 yrs)
Last Updated
Jun 15, 2021
License
25878 (NE)
Sole Proprietor
Yes

Practice Information

Address
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX, 782365638
Browse TX providers · Browse ZIP 78236
Phone
2102923210
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in JBSA LACKLAND, TX

Name Credential NPI
DR. LESLIE ANN KNIGHT MD 1558355875
DR. JAMES MORGAN SCOTT III M.D. 1386626943
DR. DIXON LORENZO CHRISTIAN M.D. 1265417844
DR. AASIF MIRZA MD 1811973563
DR. KEVIN ROBERT VANVALKENBURG D.O. 1366429060
DR. HARPREET S MANGAT M.D. 1366412454
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.