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Individual
KEVIN D SIECK
Active
Individual
KEVIN D SIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21716
OK
207R00000X
Internal Medicine Physician
Primary
L4200
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110241972
RAIL ROAD MEDICARE
TX
01
—
1186100001
DMERC CIGNA
TX
01
—
132180100
SOUTHWEST LIFE & HEALTH
TX
05
—
151473901
—
TX
01
—
8G3440
BCBS
TX
01
—
L4200
WORKERS COMP
TX
Enumeration date
07/22/2006
Last updated
07/25/2013
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