IndividualActive
Kiersten Craig, MD
NPI 1376938860 · Pediatric Urology Physician · Jbsa Lackland, TX
Provider details
- NPI number
- 1376938860
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4301508150 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (610) 937-6751
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Additional practice locations (1)
- 3551 Roger Brooke DrFort Sam Houston, TX 78234-4504Phone: (610) 937-6751
Registry dates
- Enumerated
- 2015-04-01
- Last updated
- 2024-03-26
- Certified
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.