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

Kevin Siemen

Individual provider Surgical Physician Assistant · NPI 1477105997

Kevin Siemen is a Physician Assistant in Adrian, Michigan. Qualified in 2019, 7 years ago. Practices with Promedica Central Corporation of Michigan, a 112-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

777 Kimole Ln Ste 220
Adrian, MI 49221-1400
Phone: (517) 263-6464
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009433 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1477105997
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2019
Last updated in NPPESNovember 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Promedica Central Corporation Of Michigan — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare