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Individual

KEVIN SIESEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
4600 TRINITY RD, RALEIGH, NC 27607-3924
(919) 515-3961
Mailing address
4600 TRINITY RD, RALEIGH, NC 27607-3924
(919) 515-3961

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2915
NC

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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