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

Kevin Siesel, LAT, ATC

Individual provider Athletic Trainer · NPI 1083340046

Kevin Siesel, LAT, ATC is an Athletic Trainer in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4600 Trinity Rd
Raleigh, NC 27607-3924
Phone: (919) 515-3961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence LAT-2915 (NC)

Record details

NPI number1083340046
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022

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