DR. KRISTEN LYN DEWILDE M.D.
NPI 1306073911
Family Medicine in Jbsa Lackland, TX

Active since June 22, 2009
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(210) 292-3210 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kristen Lyn Dewilde M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTEN LYN DEWILDE M.D. (NPI 1306073911) is an individual family medicine provider in Jbsa Lackland, Texas, licensed in Nebraska (25878) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1306073911
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTEN LYN DEWILDECredential: M.D.
Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · (210) 292-3210
Sole ProprietorYes
Enumeration DateJune 22, 2009
Last NPPES UpdateJune 15, 2021
NPPES CertifiedJune 15, 2021
NPI 1306073911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 25878
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

Other Names 1

Former Name (1)Dr. Kristen Lyn Ross M.d.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Marriage & Family Therapist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Internal Medicine
1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236
Allergy & Immunology
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Radiology (Diagnostic Radiology)
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Pharmacist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Chiropractor
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236
Optometrist
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Dewilde's NPI number?

The NPI number for Kristen Dewilde is 1306073911. It was assigned to this individual provider in the NPPES registry on June 22, 2009. The provider is also known as Dr. Kristen Lyn Ross M.D..

Where is Kristen Dewilde located?

Kristen Dewilde practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-3210.

What is Kristen Dewilde's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kristen Dewilde was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.