| NPI | 1487667044 |
|---|---|
| Professional Name | L. W. KELLY SIEBEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G72601) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G72601) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-02-19 |