Individual
KAITLIN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6408 PAPERMILL DR, KNOXVILLE, TN 37919-4858
(865) 588-8229
(865) 212-0163
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5700
(865) 584-7760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5262
TN
363AS0400X
Surgical Physician Assistant
5262
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q078805
—
TN
Enumeration date
04/23/2014
Last updated
02/02/2023
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