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Search › Kentucky › 207Q00000X

Mark Siebe, PA-C

NPI 1053801886 · on the registry since 2018

Practice

Address
Blanchfield Army Community Hospital
650 Joel Dr
Fort Campbell, KY 42223
Phone
(270) 798-8727
Clinicians at this address
75

Additional practice sites

  • 717 Shenandoah Dr, Brentwood, TN
  • 2201 Murphy Ave Ste 204, Nashville, TN

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
363A00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky