Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Keller Siegel, PA

Individual provider Physician Assistant · NPI 1629439401

Kathleen Keller Siegel, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2015, 11 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8450 Park Rd
Charlotte, NC 28210-5801
Phone: (980) 308-0143
Fax: (980) 308-0142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9101 Monroe Rd Ste 155, Charlotte, NC 28270-2467 — (704) 384-1260

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06188 (NC)

Record details

NPI number1629439401
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 8, 2016
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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