Individual
SIDNEY KIEPPE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 EXECUTIVE DR. STE 203, BLDG 1, RALEIGH, NC 27609
(919) 803-5869
(866) 250-8188
Mailing address
3410 EXECUTIVE DR. STE 203, BLDG 1, RALEIGH, NC 27609
(919) 803-5869
(866) 250-8188
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
08/03/2012
Last updated
08/23/2012
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