Individual
DR. KATHLEEN M SEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 JOHNS HOPKINS DRIVE, ECU PHYSICIANS PSYCHIATRIC MEDICINE - OUTPATIENT CLINIC, GREENVILLE, NC 27834-7225
(252) 744-1406
(252) 744-2419
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30856
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75211
BCBS NC
NC
05
—
8975211
—
NC
01
—
990015450
RAILROAD MEDICARE
NC
Enumeration date
11/04/2005
Last updated
11/19/2010
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