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

Kenneth Edward Siebert Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1275152654

Kenneth Edward Siebert Jr., IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4831 Shields St
San Diego, CA 92124-2930
Phone: (619) 332-9330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1275152654
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020

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