Provider Demographics
NPI:1871696492
Name:KRIEGER, MICHELE A (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:A
Last Name:KRIEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68848-0550
Mailing Address - Country:US
Mailing Address - Phone:308-865-2808
Mailing Address - Fax:308-865-6046
Practice Address - Street 1:3219 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847
Practice Address - Country:US
Practice Address - Phone:308-865-2808
Practice Address - Fax:308-865-6046
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20010207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47060451813Medicaid
NE47064617113Medicaid
NE47060451813Medicaid
G25991Medicare UPIN