Most Relevant Information
Provider Data
| NPI Number: | 1003559832 |
| Provider Name: | KIRSTEN SIWY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 0010-11992 |
Most Important Dates
| Enumeration Date: | 04/19/2022 |
| Last Updated: | 04/19/2022 |
Provider Practice Location
1003 OLDE WATERFORD WAY STE 1B
LELAND
NC
284514168
Practice Location Phone/Fax
| Phone: | 9106793212 |
| Fax: |
Provider Mailing Location
314 EAGLE DR
EMMAUS
PA
180491926
Provider Mailing Phone/Fax
| Phone: | 6103933253 |
| Fax: |