Individual
LAREN KANE SIEFKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, M ED.
Contact information
Practice address
1624 STATE RD, SUMMERVILLE, SC 29486-2752
(843) 899-8786
Mailing address
1624 STATE RD, SUMMERVILLE, SC 29486-2752
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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