Individual
SIEARA KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WIG CREATOR
Contact information
Practice address
5503 METEDECONK LN, RALEIGH, NC 27604-5404
(919) 769-2971
Mailing address
5503 METEDECONK LN, RALEIGH, NC 27604-5404
(919) 769-2971
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517175503
—
NC
01
—
05175503
VICTIMS OF ALOPECIA, CANCER, AND OTHER MEDICAL ISSUES THAT CAUSES HAIR LOSS.
NC
Enumeration date
12/19/2018
Last updated
06/11/2019
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