Individual
KIRSTEN SIWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1003 OLDE WATERFORD WAY STE 1B, LELAND, NC 28451-4168
(910) 679-3212
Mailing address
314 EAGLE DR, EMMAUS, PA 18049-1926
(610) 393-3253
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-11992
NC
363AM0700X
Medical Physician Assistant
MA063462
PA
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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