Provider Demographics
NPI:1720284250
Name:KREHBIEL, TREVER ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:TREVER
Middle Name:ALLEN
Last Name:KREHBIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6432 E 34TH ST N STE 100
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-2537
Mailing Address - Country:US
Mailing Address - Phone:316-734-1131
Mailing Address - Fax:
Practice Address - Street 1:6432 E 34TH ST N STE 100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2537
Practice Address - Country:US
Practice Address - Phone:316-260-8700
Practice Address - Fax:316-201-1071
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0468532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry